Individual provider · Type 1 NPI

Teresa Gail Kilburn, LPC, LADAC

Mental Health Counselor · Grove, OK

NPI number 1346423910 Active

Practice location

1115 Harbor Rd
Grove, OK 74344-3505

Fax (918) 786-4435

Mailing address

115 Harber Rd
Grove, OK 74344-4429

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3929 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1346423910

Teresa Gail Kilburn, LPC, LADAC's National Provider Identifier is 1346423910, issued on Dec 6, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grove, OK. The record was last updated on Nov 22, 2016.