Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003118738 |
---|---|
Provider Name | Ms. Kimberlee Dawn Brown |
First Address | Edmond, OK 73034-6370 |
Second Address | Norman, OK 73069-3924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2010 |
Last Update Date | 23/06/2021 |