Provider Demographics
NPI:1689086472
Name:KESSEE, LATOYA TONETTEE
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:TONETTEE
Last Name:KESSEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 N CLASSEN BLVD STE 307
Mailing Address - Street 2:1330 N. CLASSEN STE307
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73106-6834
Mailing Address - Country:US
Mailing Address - Phone:405-604-0180
Mailing Address - Fax:405-228-0181
Practice Address - Street 1:1330 N CLASSEN BLVD STE 307
Practice Address - Street 2:1330 N. CLASSEN STE307
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-6834
Practice Address - Country:US
Practice Address - Phone:405-604-0180
Practice Address - Fax:405-228-0181
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health