| NPI | 1518208040 |
|---|---|
| Former Name | KELSEE LANE REEVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OK 6214) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OK 6214) | |
| 101YM0800X Counselor Mental Health (Licence: OK 06214) | |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2021-08-12 |