Individual
KIRA VREDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6608 LYREWOOD LN APT 21, OKLAHOMA CITY, OK 73132-6305
(928) 451-1047
Mailing address
6608 LYREWOOD LN APT 21, OKLAHOMA CITY, OK 73132-6305
(928) 451-1047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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