MR. Kelly S. Wray, LADC CANDIDATE

NPI #1013291525 in Chickasha, Oklahoma

Provider Information

NPI Number
1013291525
Entity Type
Individual
Name
MR. Kelly S. Wray, LADC CANDIDATE
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC CANDIDATE
Enumeration Date
Oct 3, 2011
Last Updated
May 27, 2022

Practice Location

Address
804 W CHOCTAW AVE
ZIP Code
73018-2310
Phone
(405) 424-7711

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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