Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLY MARIE KENNEDY-GONZALEZ, LPC
ActiveMental Health Counselor · BROKEN ARROW, OK
Registration Details
- NPI Number
- 1679923320
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2016 (9.8804453752408 yrs)
- Last Updated
- Nov 8, 2025
- Licenses
-
06888 (OK)6888 (OK)
Practice Information
- Address
-
2017 S ELM PL STE 104BROKEN ARROW, OK, 740127034Browse OK providers · Browse ZIP 74012
- Phone
- 9183794431
- Fax
- 9183282380
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Counselor
Other Mental Health Counselor Providers in BROKEN ARROW, OK
| Name | Credential | NPI |
|---|---|---|
| MR. PHILLIP ANTHONY BLACK | M.S. | 1326149873 |
| MS. KATHY ANN BILLIPS | MS, LBP | 1568533743 |
| LAWRENCE LORAN GILBERT | LPC LADC | 1922175850 |
| KELLI LEE KING | LPC, LADC | 1497978555 |
| MS. KERRY REBECCA ABBOTT | LPC | 1093920795 |
| MRS. MARCIA LABOOTH KEESEE | LPC-S | 1861694945 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.