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Mrs. Kimberly Jane Roach
Professional Counselor in Bixby, Oklahoma
NPI 1174884670

Kimberly Jane Roach is a Professional Counselor based in Oklahoma City, OK and is specialized in Professional. Kimberly Jane Roach practices in Bixby, OK. The NPI Number for Kimberly Jane Roach is 1174884670 and holds a License No. (Oklahoma).

The current practice location address for Kimberly Jane Roach is 12104 S 85Th East Ave, Bixby, OK and can be reached out via phone at 918-724-1473.

Location: 12104 S 85Th East Ave, Bixby, OK, 73118-4622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174884670
Provider Name
Kimberly Jane Roach
Credential
Provider Entity Type
Individual
Gender
Female
Address
12104 S 85Th East Ave, Bixby, OK, 73118-4622
Phone Number
918-724-1473
Fax Number
Provider Enumeration Date
05/31/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12104 S 85Th East Ave
City
Bixby
State
Oklahoma
Zip
74008-2703
Phone Number
918-724-1473
Fax Number
person
Provider Business Mailing Address Details
Address
12104 S 85Th East Ave
City
Bixby
State
Oklahoma
Zip
74008-2703
Phone Number
918-724-1473
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
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Definition
Definition to come...
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