Individual
KRISTA DIANE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
(918) 744-4806
Mailing address
650 S PEORIA, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-0137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1709
OK
Other
Enumeration date
02/12/2007
Last updated
01/17/2020
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