Individual
KRISTEN NICOLE BLANSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5319 S LEWIS AVE, TULSA, OK 74105
(918) 832-7763
(918) 292-8250
Mailing address
5319 S LEWIS AVE, TULSA, OK 74105
(918) 832-7763
(918) 292-8250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1154
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
OK
Other
Enumeration date
02/18/2010
Last updated
05/07/2019
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