Individual
MRS. KIMBERLY KAY HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 378-2727
Mailing address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 378-2727
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
551
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
551
OK
101YP2500X
Professional Counselor
Primary
5994
OK
Other
Enumeration date
01/20/2010
Last updated
07/01/2026
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