Individual
MISS KRISSTYN ELISSA RYALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CANDIDATE
Contact information
Practice address
1510 E SHAWNEE CIR, TAHLEQUAH, OK 74464
(918) 772-4018
(918) 207-0424
Mailing address
17576 W LISA DR, TAHLEQUAH, OK 74464-0326
(918) 772-4018
(918) 207-4911
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
08/15/2018
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