Individual
KELLI J NOWLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1088 S GIN RD, ATOKA, OK 74525-7378
(580) 239-2071
Mailing address
1088 S GIN RD, ATOKA, OK 74525-7378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4550
OK
101YP2500X
Professional Counselor
Primary
4550
OK
Other
Enumeration date
10/18/2009
Last updated
04/20/2020
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