Individual
MRS. MARCIA LABOOTH KEESEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
4113 N OAK AVE, BROKEN ARROW, OK 74012-0750
(918) 810-7196
Mailing address
4113 N OAK AVE, BROKEN ARROW, OK 74012-0750
(918) 355-0747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4961
OK
171M00000X
Case Manager/Care Coordinator
8299
OK
Other
Enumeration date
06/01/2007
Last updated
09/09/2024
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