Individual
KRISTA TRUNDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHCMII
Contact information
Practice address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(918) 308-5511
Mailing address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(918) 308-5511
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/09/2015
Last updated
02/24/2020
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