Individual
KELLI M ERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
550 S PEORIA AVE, IHCRC, TULSA, OK 74120-3820
(918) 588-1900
Mailing address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
477
OK
101YP2500X
Professional Counselor
Primary
1307
OK
Other
Enumeration date
01/10/2007
Last updated
08/31/2012
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