Individual
MISS KAYLI NICOLE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
5553 S PEORIA AVE, TULSA, OK 74105-6800
(918) 895-6917
(918) 779-4556
Mailing address
5553 S PEORIA AVE, TULSA, OK 74105-6800
(918) 895-6917
(918) 779-4556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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