Individual
KRISTA HEARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1515 EDGEWOOD LN, SAPULPA, OK 74066-4929
(405) 938-5786
Mailing address
1515 EDGEWOOD LN, SAPULPA, OK 74066-6339
(405) 938-5786
(405) 948-4933
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
03/15/2024
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