Individual
KRISTINA LOUISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 MAPLE ST STE 2, YUKON, OK 73099-2657
(918) 520-9863
Mailing address
406 MAPLE ST STE 2, YUKON, OK 73099-2657
(918) 520-9863
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6050
OK
104100000X
Social Worker
—
—
Other
Enumeration date
11/06/2012
Last updated
07/21/2022
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