Individual
MRS. KIMBERLY ELIZABETH PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
346
KS
101YP2500X
Professional Counselor
Primary
4088
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15155
PREFERRED HEALTH SYSTEMS
KS
01
—
835346
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/14/2006
Last updated
06/13/2014
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