Individual provider · Type 1 NPI
Mistye Kelly
Mental Health Counselor · Moore, OK
NPI number
1730524802
Active
Practice location
716 SW 1st St
Moore, OK 73160-2301
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 1730524802
Mistye Kelly's National Provider Identifier is 1730524802, issued on May 2, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moore, OK. The record was last updated on May 8, 2016.