Individual
MRS. AMY LYNN BOTTOMLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9212 N KELLEY AVE, OKLAHOMA CITY, OK 73131-2419
(405) 242-5070
Mailing address
4824 GREEN COUNTRY RD, EDMOND, OK 73034-0900
(405) 361-9599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6362
OK
Other
Enumeration date
01/07/2011
Last updated
03/04/2022
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