Individual
MS. KIMBERLY DAWN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, ICADC
Contact information
Practice address
2628 MICHAEL DR, EDMOND, OK 73013-5227
(405) 285-1632
Mailing address
2628 MICHAEL DR, EDMOND, OK 73013-5227
(405) 285-1632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
130
OK
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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