Provider Demographics
NPI:1417434259
Name:SANDEFUR, KATHRYN E (LMFT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:E
Last Name:SANDEFUR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6718 S 71ST EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-1817
Mailing Address - Country:US
Mailing Address - Phone:918-800-1322
Mailing Address - Fax:
Practice Address - Street 1:2202 E 49TH ST STE 400
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-8714
Practice Address - Country:US
Practice Address - Phone:918-749-1840
Practice Address - Fax:918-749-1841
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor