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Mistye Kelly
Mental Health Counselor in Moore, Oklahoma
NPI 1730524802

Mistye Kelly is a Mental Health Counselor based in Moore, OK and is specialized in Mental Health. Mistye Kelly practices in Moore, OK. The NPI Number for Mistye Kelly is 1730524802 and holds a License No. (Oklahoma).

The current practice location address for Mistye Kelly is 716 Sw 1St St, Moore, OK and can be reached out via phone at 405-735-7786.

Location: 716 Sw 1St St, Moore, OK, 73160-2301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730524802
Provider Name
Mistye Kelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
716 Sw 1St St, Moore, OK, 73160-2301
Phone Number
405-735-7786
Fax Number
Provider Enumeration Date
05/02/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
716 Sw 1St St
City
Moore
State
Oklahoma
Zip
73160-2301
Phone Number
405-735-7786
Fax Number
person
Provider Business Mailing Address Details
Address
716 Sw 1St St
City
Moore
State
Oklahoma
Zip
73160-2301
Phone Number
405-735-7786
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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