TERESA WILIE KENNISON

TISHOMINGO, OK
NPI1083919179
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies103K00000X Behavior Analyst
Enumeration Date2011-01-20
Last Update Date2013-04-01
Business Address
-- TERESA WILIE KENNISON MS, LPC-Candidate
1350 S MULDROW ST
TISHOMINGO, OK 73460-3278
Phone number: 580-579-3620
Mailing Address
-- TERESA WILIE KENNISON MS, LPC-Candidate
1350 S MULDROW ST
TISHOMINGO, OK 73460-3278
Phone number: 580-579-3620