Individual
CRYSTAL ANNETTE ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 360-5100
Mailing address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 360-5100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC06280
OK
Other
Enumeration date
08/13/2006
Last updated
09/16/2024
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