| Kerby Behavioral Development, Pllc | |
|
402 Janet St Tahlequah OK 74464-7028 | |
| (918) 718-9004 | |
| (918) 431-1180 |
| Full Name | Kerby Behavioral Development, Pllc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 402 Janet St, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Cara J Kerby (CEO) |
| Authorized Official Contact | 9187189004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerby Behavioral Development, Pllc Po Box 613 Tahlequah OK 74465-0613 Ph: (918) 718-9004 | Kerby Behavioral Development, Pllc 402 Janet St Tahlequah OK 74464-7028 Ph: (918) 718-9004 |
| NPI Number | 1194008698 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 09/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194008698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 819 (Oklahoma) | Primary |
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