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Organization
KRISTA HEARON LPC LLC
Active
Organization
KRISTA HEARON LPC LLC
Active
Other names
Krista Bates LPC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA HEARON LPC (OWNER)
(405) 938-5786
Entity
Organization
Contact information
Practice address
1515 EDGEWOOD LN, SAPULPA, OK 74066-4929
(405) 938-5786
Mailing address
1515 EDGEWOOD LN, SAPULPA, OK 74066-4929
(405) 938-5786
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07334
LPC LICENSE
OK
Enumeration date
09/14/2022
Last updated
03/15/2024
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