Individual
MRS. KTARA DANELLE BRINKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3005 NW 63RD ST, OKLAHOMA CITY, OK 73116-3603
(405) 521-1755
(405) 521-1138
Mailing address
6520 WESTROCK DR, OKLAHOMA CITY, OK 73132-2007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4152
OK
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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