Individual provider · Type 1 NPI
Kelvin Gilmore, FACT I RAS
Addiction (Substance Use Disorder) Counselor · Tulsa, OK
NPI number
1508397076
Active
Practice location
4851 S Darlington Ave Apt 6C
Tulsa, OK 74135-7247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1508397076
Kelvin Gilmore, FACT I RAS's National Provider Identifier is 1508397076, issued on Mar 25, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tulsa, OK. The record was last updated on Jul 19, 2017.