Individual
MICHAEL CRUTCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA BHRS
Contact information
Practice address
105 PLAZA, MADILL, OK 73446
(580) 795-7443
Mailing address
407 SOUTH B STREET, CALERA, OK 74730
(580) 212-4458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NA
—
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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