Individual
KAVINA MICHELE AGNEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5350 S WESTERN AVE STE 215, OKLAHOMA CITY, OK 73109-4525
(405) 605-8488
(888) 877-9894
Mailing address
PO BOX 890895, OKLAHOMA CITY, OK 73189-0895
(405) 860-5848
(888) 877-9894
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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