Individual
KYRIE D CRIPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2203 N ASH ST, PONCA CITY, OK 74601
(580) 762-8341
Mailing address
2203 N ASH ST, PONCA CITY, OK 74601-1108
(580) 762-8341
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6508
OK
Other
Enumeration date
03/07/2013
Last updated
07/10/2018
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