Individual provider · Type 1 NPI

Kelly McCannell, LBP

Counselor · Lawton, OK

NPI number 1750587960 Active

Practice location

602 SW 38th St
Lawton, OK 73505-6912

Fax (580) 248-9128

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X0337 (OK)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1750587960

Kelly McCannell, LBP's National Provider Identifier is 1750587960, issued on Jun 25, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lawton, OK. The record was last updated on Jul 8, 2007.