| Ms Kelis Ayn Whisenhunt, MA, LPC, CADC | |
|
32108 Hwy 59, Maud, OK 74854 | |
| (405) 374-1225 | |
| (866) 202-3530 |
| Full Name | Ms Kelis Ayn Whisenhunt |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 32108 Hwy 59, Maud, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750595864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 362 (Oklahoma) | Secondary |
| 101YP2500X | Counselor - Professional | 6952 (Oklahoma) | Primary |
| Entity Name | Choctaw Nation Of Oklahoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelis Ayn Whisenhunt, MA, LPC, CADC Po Box 8, Maud, OK 74854-0008 Ph: (405) 374-1225 | Ms Kelis Ayn Whisenhunt, MA, LPC, CADC 32108 Hwy 59, Maud, OK 74854 Ph: (405) 374-1225 |
Rachael Lynn Howard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Clay Crossing, 32018 Hwy 59, Maud, OK 74820 Phone: 405-374-1225 | |
Mrs. Kara Layne Keesee, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 32018 Highway 59, Maud, OK 74854 Phone: 405-374-1225 | |
Diana Jean Stone, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 8, Maud, OK 74854 Phone: 405-374-1225 |