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Kellynne Oxley

Counselor, Addiction (Substance Use Disorder) in Tipton, IA. Individual provider (NPI-1).

NPI number1699200089
StatusActive
Last updated in NPPESApr 24, 2017

Details

NPI
1699200089
Entity type
Individual (NPI-1)
Name
Mrs. Kellynne Oxley
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 24, 2017
Last updated
Apr 24, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

300 E 4th St
Tipton, IA 52772-1813

Phone 563-886-4155

Mailing address

300 E 4th St
Tipton, IA 52772-1813

Phone 563-886-4155

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