Provider Information for 1871964106
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Mrs. VALERIE NICOLE KELLER GATES LPC
Other Names:Former Name:VALERIE NICOLE STEELE LPCSex: Female
NPI: 1871964106
Last Updated: 2024-09-26
Certification Date: 2024-09-26
Certification Date: 2024-09-26
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1871964106 | ||||||||
| Enumeration Date | 2015-10-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 13353 OKLAHOMA CITY, OK 73113-1353 United States Phone: 405-312-5661 | Fax: | ||||||||
| Primary Practice Address | 8541 HURST CT OKLAHOMA CITY, OK 73114-4402 United States Phone: 405-312-5661 | Fax: | ||||||||
| Secondary Practice Address(es) | 5505 MAIN ST STE 100 | ||||||||
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