Individual provider · Type 1 NPI

Demita Glynne Kinard

Addiction (Substance Use Disorder) Counselor · Tulsa, OK

NPI number 1982976114 Active

Practice location

2325 S Harvard Ave
Tulsa, OK 74114-3300

Mailing address

650 S Peoria Ave
Tulsa, OK 74120-4429

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1982976114

Demita Glynne Kinard's National Provider Identifier is 1982976114, issued on Feb 3, 2012. 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 Oct 10, 2012.