Individual
MR. KENNETH D. CONTREREAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6218 S LEWIS AVE, SUITE 115, TULSA, OK 74136-1018
(918) 231-3995
(918) 747-0164
Mailing address
10349 S 156TH WEST AVE, SAPULPA, OK 74066-9208
(918) 231-3995
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1247
OK
Other
Enumeration date
12/16/2009
Last updated
08/26/2010
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