Individual
MS. KELIS AYN WHISENHUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, CADC
Contact information
Practice address
32108 HWY 59, MAUD, OK 74854
(405) 374-1225
(866) 202-3530
Mailing address
PO BOX 8, MAUD, OK 74854-0008
(405) 374-1225
(866) 201-3530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
362
OK
101YP2500X
Professional Counselor
Primary
6952
OK
Other
Enumeration date
05/09/2007
Last updated
05/19/2022
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