Individual
MISS KRYSTAL DAWN HALTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, LPC
Contact information
Practice address
6801 S WESTERN AVE STE 101, OKLAHOMA CITY, OK 73139-1816
(405) 550-2688
(405) 619-3924
Mailing address
6801 S WESTERN AVE STE 101, OKLAHOMA CITY, OK 73139-1816
(405) 550-2688
(405) 619-3924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6323
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164939765
WORK NPI
OK
05
—
200375440B
—
OK
05
—
200781380A
—
OK
01
—
82-0996935
DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE
OK
Enumeration date
05/20/2010
Last updated
02/24/2026
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