Organization
KRISTA M DOLL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA DOLL M.ED., LPC (OWNER)
(405) 641-1084
Entity
Organization
Contact information
Practice address
4816 SW 129TH ST, OKLAHOMA CITY, OK 73173-8917
(405) 641-1084
Mailing address
4816 SW 129TH ST, OKLAHOMA CITY, OK 73173-8917
(405) 641-1084
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6192
OK
101YM0800X
Mental Health Counselor
6192
OK
101YP2500X
Professional Counselor
6192
OK
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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