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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