Individual
KRISTIN ALAINE MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LADC CANDIDATE
Contact information
Practice address
4815 S SHERIDAN RD STE 106, TULSA, OK 74145-5715
(918) 500-1024
Mailing address
4815 S SHERIDAN RD STE 106, TULSA, OK 74145-5715
(918) 500-1024
(918) 209-3969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
434
OK
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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