Individual
CARLA ANN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 S 125TH EAST AVE STE 106, TULSA, OK 74129-5800
(918) 574-8442
Mailing address
2121 S 125TH EAST AVE STE 106, TULSA, OK 74129-5800
(191) 857-4844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/13/2022
Last updated
03/27/2024
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