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Shelly Marie Kennedy-gonzalez, LPC
Counselor in Sapulpa, Oklahoma
NPI 1679923320

Shelly Marie Kennedy-gonzalez is a Counselor based in Broken Arrow, OK. Shelly Marie Kennedy-gonzalez practices in Sapulpa, OK and has the professional credentials of LPC. The NPI Number for Shelly Marie Kennedy-gonzalez is 1679923320 and holds a License No. 6888 (Oklahoma).

The current practice location address for Shelly Marie Kennedy-gonzalez is 23 E Ross Ave, Sapulpa, OK and can be reached out via phone at 918-227-2016 and via fax at 918-227-1125.

Location: 23 E Ross Ave, Sapulpa, OK, 74012-7957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679923320
Provider Name
Shelly Marie Kennedy-gonzalez
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
23 E Ross Ave, Sapulpa, OK, 74012-7957
Phone Number
918-227-2016
Fax Number
918-227-1125
Provider Enumeration Date
06/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23 E Ross Ave
City
Sapulpa
State
Oklahoma
Zip
74066-6423
Phone Number
918-227-2016
Fax Number
918-227-1125
person
Provider Business Mailing Address Details
Address
23 E Ross Ave
City
Sapulpa
State
Oklahoma
Zip
74066-6423
Phone Number
918-227-2016
Fax Number
918-227-1125
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Oklahoma)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
6888 (Oklahoma)
Definition
Definition to come...
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