Provider Demographics
NPI:1457802787
Name:KEPLER, SHELLY (LMFT)
Entity type:Individual
Prefix:
First Name:SHELLY
Middle Name:
Last Name:KEPLER
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 1:5025 FALCON DR
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-5546
Mailing Address - Country:US
Mailing Address - Phone:405-361-1993
Mailing Address - Fax:
Practice Address - Street 1:5025 FALCON DR
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701-5546
Practice Address - Country:US
Practice Address - Phone:405-361-1993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-21
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health