Individual
KIMBERLY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6612 NW 42ND STREET, BETHANY, OK 73008
(405) 924-1850
Mailing address
6612 NW 42ND STREET, BETHANY, OK 73008
(405) 924-1850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2475
OK
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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