Individual
CRYSTAL D. CHITWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
1815 W 6TH AVE, STILLWATER, OK 74074-4202
(405) 743-7300
(405) 743-7346
Mailing address
1815 W 6TH AVE, STILLWATER, OK 74074-4202
(405) 743-7300
(405) 743-7346
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2707089
AMERICAN MEDICAL TECHNOLOGIST/REGISTERED MEDICAL ASSISTANT
OK
Enumeration date
10/23/2015
Last updated
10/23/2015
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