Individual
KELLI LEE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
2017 S ELM PL STE 104, BROKEN ARROW, OK 74012-7034
(918) 379-4431
(918) 328-2380
Mailing address
6931 S 66TH EAST AVE STE 200, TULSA, OK 74133-1765
(918) 379-4431
(918) 328-2380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
205
OK
101YM0800X
Mental Health Counselor
Primary
3406
OK
101YP2500X
Professional Counselor
Primary
3406
OK
Other
Enumeration date
04/10/2007
Last updated
01/12/2026
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