Individual
GRACE KIMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 NW 161ST ST, EDMOND, OK 73013-3208
(405) 314-9196
Mailing address
4900 NW 161ST ST, EDMOND, OK 73013-3208
(405) 314-9196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10747
OK
Other
Enumeration date
08/19/2022
Last updated
07/17/2025
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