Individual
MRS. BRENDA KAY KINNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.H.R
Contact information
Practice address
333 W MAIN ST STE 140230, ARDMORE, OK 73401-6326
(580) 224-2929
(866) 777-7906
Mailing address
333 W MAIN ST STE 140230, ARDMORE, OK 73401-6326
(580) 224-2929
(866) 777-7906
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
06629
OK
Other
Enumeration date
10/29/2012
Last updated
09/04/2023
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