Individual
DENNIS CHARLES CROOKEDACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8937 S GARNETT RD, BROKEN ARROW, OK 74012-6004
(918) 872-9777
(918) 872-9779
Mailing address
2990 N SIOUX AVE, CLAREMORE, OK 74017-3700
(918) 342-2622
(918) 342-2641
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4471
OK
101YP2500X
Professional Counselor
6401010401
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4471
LICENSE
OK
Enumeration date
12/03/2008
Last updated
08/06/2015
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