Individual
MISS KIARA JANAY MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 NE 28TH ST, OKLAHOMA CITY, OK 73105-2806
(405) 889-6822
Mailing address
2508 NE 13TH ST, OKLAHOMA CITY, OK 73117-5221
(405) 535-4402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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