Individual provider · Type 1 NPI

Kittakone Sirisombath Sr.

Mental Health Counselor · Oklahoma City, OK

NPI number 1124498068 Active

Practice location

1805 NE 53rd St
Oklahoma City, OK 73111-7011

Call (405) 476-8412 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124498068

Kittakone Sirisombath Sr.'s National Provider Identifier is 1124498068, issued on Oct 5, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 5, 2015.