Individual provider · Type 1 NPI
Gladwell Kisitu
Mental Health Counselor · Bixby, OK
NPI number
1124738760
Active
Practice location
14214 S Toledo Ave
Bixby, OK 74008-3794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1124738760
Gladwell Kisitu's National Provider Identifier is 1124738760, issued on Dec 5, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bixby, OK. The record was last updated on Dec 5, 2022.