Individual
PAKITA ASBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5131 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-5258
(405) 767-1126
Mailing address
617 NW 118TH ST, OKLAHOMA CITY, OK 73114-7968
(405) 401-6970
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P081129283
—
OK
Enumeration date
09/19/2011
Last updated
09/19/2011
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