Individual provider · Type 1 NPI
Khaldun Jermaine Factory
Mental Health Counselor · Oklahoma City, OK
NPI number
1659650612
Active
Practice location
3543 NW 54th St, 147
Oklahoma City, OK 73112-1940
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 1659650612
Khaldun Jermaine Factory's National Provider Identifier is 1659650612, issued on Aug 9, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 9, 2011.