Organization · Type 2 NPI

Kerby Behavioral Development, PLLC

Addiction (Substance Use Disorder) Counselor · Tahlequah, OK

NPI number 1194008698 Active

Practice location

402 Janet St
Tahlequah, OK 74464-7028

Fax (918) 431-1180

Mailing address

PO Box 613
Tahlequah, OK 74465-0613

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X819 (OK)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194008698

Kerby Behavioral Development, PLLC's National Provider Identifier is 1194008698, issued on Sep 21, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tahlequah, OK. The record was last updated on Sep 21, 2011.