Individual
MS. KELSEE LANE MCCUTCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(918) 308-5511
(918) 205-2701
Mailing address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(918) 308-5511
(918) 205-2701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
6214
OK
101YM0800X
Mental Health Counselor
06214
OK
101YM0800X
Mental Health Counselor
Primary
6214
OK
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2013
Last updated
08/12/2021
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