Organization
AMETHYST EMPOWERED HEALING & COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI GIBBS LPC (LICENSED PROFESSIONAL COUNSELOR)
(580) 243-9490
Entity
Organization
Contact information
Practice address
14141 SW 29TH ST, YUKON, OK 73099-6335
(580) 243-9490
Mailing address
14141 SW 29TH ST, YUKON, OK 73099-6335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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