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Mrs. Carissa Nicole Kelley
Addiction (Substance Use Disorder) Counselor in Seminole, Oklahoma
NPI 1790159382

Carissa Nicole Kelley is an Addiction (Substance Use Disorder) Counselor based in Seminole, OK and is specialized in Addiction (Substance Use Disorder). Carissa Nicole Kelley practices in Seminole, OK. The NPI Number for Carissa Nicole Kelley is 1790159382 and holds a License No. (Oklahoma).

The current practice location address for Carissa Nicole Kelley is 2215 W. Wrangler Blvd. Apt. 135, Seminole, OK and can be reached out via phone at 405-584-1350.

Location: 2215 W. Wrangler Blvd. Apt. 135, Seminole, OK, 74868-2098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790159382
Provider Name
Carissa Nicole Kelley
Credential
Provider Entity Type
Individual
Gender
Female
Address
2215 W. Wrangler Blvd. Apt. 135, Seminole, OK, 74868-2098
Phone Number
405-584-1350
Fax Number
Provider Enumeration Date
11/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2215 W. Wrangler Blvd. Apt. 135
City
Seminole
State
Oklahoma
Zip
74868
Phone Number
405-584-1350
Fax Number
person
Provider Business Mailing Address Details
Address
2215 W. Wrangler Blvd. Apt. 135
City
Seminole
State
Oklahoma
Zip
74868
Phone Number
405-584-1350
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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