Individual
KELLY LANGE TORREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
919 COUNTY STREET 2934, TUTTLE, OK 73089-2433
(573) 528-4725
Mailing address
919 COUNTY STREET 2934, TUTTLE, OK 73089-2433
(573) 528-4725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
11/19/2012
Last updated
01/13/2014
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