person
Ms. Kelly Rae Due, CADC
Mental Health Counselor in Tulsa, Oklahoma
NPI 1528385408

Kelly Rae Due is a Mental Health Counselor based in Tulsa, OK and is specialized in Mental Health. Kelly Rae Due practices in Tulsa, OK and has the professional credentials of CADC. The NPI Number for Kelly Rae Due is 1528385408 and holds a License No. 14397 (Oklahoma).

The current practice location address for Kelly Rae Due is 6355 S 80Th East Ave Apt K, Tulsa, OK and can be reached out via phone at 918-902-1170.

Location: 6355 S 80Th East Ave Apt K, Tulsa, OK, 74133-3813
person
Provider Profile Details
NPI Number
1528385408
Provider Name
Kelly Rae Due
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
6355 S 80Th East Ave Apt K, Tulsa, OK, 74133-3813
Phone Number
918-902-1170
Fax Number
Provider Enumeration Date
04/30/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14397 01 OK OKLAHOMA CADC
institution
Provider Business Practice Location Address Details
Address
6355 S 80Th East Ave Apt K
City
State
Zip
74133-3813
Phone Number
918-902-1170
Fax Number
person
Provider Business Mailing Address Details
Address
6355 S 80Th East Ave Apt K
City
State
Zip
74133-3813
Phone Number
918-902-1170
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
14397 (Oklahoma)
Definition
Definition to come...
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