Kimberly L Duel, | |
2442 Mohawk Blvd, Tulsa, OK 74110 | |
(918) 430-0975 | |
(918) 430-0995 |
Full Name | Kimberly L Duel |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 2442 Mohawk Blvd, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285063750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 6024 (Oklahoma) | Primary |
Entity Name | Alliance Mental Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053602649 PECOS PAC ID: 0345670733 Enrollment ID: O20200427002009 |
Mailing Address | Practice Location Address |
---|---|
Kimberly L Duel, Po Box 580700, Tulsa, OK 74158 Ph: (918) 430-0975 | Kimberly L Duel, 2442 Mohawk Blvd, Tulsa, OK 74110 Ph: (918) 430-0975 |
Mr. Brian Eugene Abraham, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4845 S Sheridan Rd, Suite 510, Tulsa, OK 74145 Phone: 918-384-0002 Fax: 918-384-0004 | |
Felicia Fagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1870 S Boulder Ave, Tulsa, OK 74119 Phone: 918-585-1213 Fax: 918-585-1263 | |
Kacy Leigh Duvall, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1516 S Boston Ave, Suite 1, Tulsa, OK 74119 Phone: 918-561-6000 Fax: 918-561-6001 | |
Mr. Daren Hildreth, MAMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2018 E 31st Pl N, Tulsa, OK 74110 Phone: 918-794-8106 | |
Latisha Fuller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5125 S Utica Ave Apt 4, Tulsa, OK 74105 Phone: 918-734-5259 | |
Todd J Smetana, LPC-UNDER SUPERVISIO Counselor Medicare: Medicare Enrolled Practice Location: 5550 S Garnett Rd, Tulsa, OK 74146 Phone: 918-665-6501 Fax: 918-665-3966 | |
Marah Leigh Pense, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2448 E 81st St, Suite 5125, Tulsa, OK 74137 Phone: 918-392-7875 |