Individual
DANNIE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 N D ST, MCALESTER, OK 74501-2314
(918) 426-1614
Mailing address
1600 N D ST, MCALESTER, OK 74501-2314
(918) 426-1614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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