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Kellie Prather
Mental Health Counselor in Moore, Oklahoma
NPI 1588932586

Kellie Prather is a Mental Health Counselor based in Moore, OK and is specialized in Mental Health. Kellie Prather practices in Moore, OK. The NPI Number for Kellie Prather is 1588932586 and holds a License No. (Oklahoma).

The current practice location address for Kellie Prather is 2885 Woodlawn Dr, Moore, OK and can be reached out via phone at 405-519-5944.

Location: 2885 Woodlawn Dr, Moore, OK, 73160-3235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588932586
Provider Name
Kellie Prather
Credential
Provider Entity Type
Individual
Gender
Female
Address
2885 Woodlawn Dr, Moore, OK, 73160-3235
Phone Number
405-519-5944
Fax Number
Provider Enumeration Date
12/05/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2885 Woodlawn Dr
City
Moore
State
Oklahoma
Zip
73160-3235
Phone Number
405-519-5944
Fax Number
person
Provider Business Mailing Address Details
Address
2885 Woodlawn Dr
City
Moore
State
Oklahoma
Zip
73160-3235
Phone Number
405-519-5944
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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