Individual
KIAUNTRA DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2828 NW 57TH ST, STE 302, OKLAHOMA CITY, OK 73112-6814
(405) 840-1250
Mailing address
2828 NW 57TH ST, 302, OKLAHOMA CITY, OK 73112-6814
(405) 808-0850
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
261QM08081X
OK
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
261QM08081X
OK
Other
Enumeration date
05/13/2013
Last updated
05/18/2013
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