Individual provider · Type 1 NPI

Kelly Bender, LPC

Mental Health Counselor · Moore, OK

NPI number 1174623201 Active

Practice location

1922 N Eastern Ave
Moore, OK 73160-5605

Call (405) 325-8945 Map

Fax (405) 735-5265

Mailing address

1624 Creekside Ln
Norman, OK 73071-1306

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3204 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1174623201

Kelly Bender, LPC's National Provider Identifier is 1174623201, issued on Sep 25, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moore, OK. The record was last updated on Jul 8, 2007.