Individual
MRS. KIM MICHELLE TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 N OAK ST, PONCA CITY, OK 74601-4238
(580) 763-7177
(580) 762-1066
Mailing address
118 N OAK ST, PONCA CITY, OK 74601-4238
(580) 763-7177
(580) 762-1066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
K080413278
OK
101YM0800X
Mental Health Counselor
Primary
K080413278
OK
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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