NPI 1962794040 · live from the CMS NPI Registry
Kimberly Millicent Anderson, M.Ed
Counselor in Oklahoma City, OK. National Provider Identifier 1962794040, active.
NPI record
| NPI | 1962794040 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor 101Y00000X |
| Practice location | 5131 N Classen Blvd Ste 101, Oklahoma City, OK 73118 |
| Practice phone | 405-767-1126 |
| Enumerated | May 9, 2011 |
| Last updated | August 2, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | — |
| Counselor primary | 101Y00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.