Healthcare Provider Details

I. General information

NPI: 1881907285
Provider Name (Legal Business Name): K HOHENSEE-GUALNAM LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY MARIE HOHENSEE-GUALNAM LPC-S

II. Dates (important events)

Enumeration Date: 07/14/2010
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2448 E 81ST ST STE 4460
TULSA OK
74137-4251
US

IV. Provider business mailing address

2448 E 81ST ST STE 4460
TULSA OK
74137-4251
US

V. Phone/Fax

Practice location:
  • Phone: 918-600-2966
  • Fax: 918-600-2965
Mailing address:
  • Phone: 918-500-2290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: