Individual
MRS. KRISTEN KOTSENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 PARKLAWN DR STE 201, MIDWEST CITY, OK 73110-4229
(405) 733-5437
Mailing address
9613 LYRIC LN, MIDWEST CITY, OK 73130-6407
(307) 640-6967
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114099355
—
OK
Enumeration date
07/30/2019
Last updated
09/16/2022
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