Kenneth Wayne Elliott, LMFT Valid NPI
Individual provider · Marriage & Family Therapist · Edmond, OK
- NPI
- 1275771735
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- 763 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2009-01-21
- Last updated
- 2009-01-21
Practice location
1308 Copperfield Dr
Edmond, OK 73003-6101
(405) 715-0216