Individual
MS. KATHY ANN BILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LBP
Contact information
Practice address
817 S ELM PL, BROKEN ARROW, OK 74012-5369
(918) 812-5315
Mailing address
25211 E 64TH ST S, BROKEN ARROW, OK 74014-2214
(918) 812-5315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0257
OK
374J00000X
Doula
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734620-C
—
OK
Enumeration date
11/10/2006
Last updated
11/01/2023
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