Individual
DESTINY CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 N MARTIN LUTHER KING AVE, OKLAHOMA CITY, OK 73111-1401
(405) 424-4623
Mailing address
1701 N MARTIN LUTHER KING AVE, OKLAHOMA CITY, OK 73111-1401
(405) 424-4623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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