Individual
KRISTIE LYNN DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.B.S.
Contact information
Practice address
1049 E WINDY LN, LANE, OK 74555-1700
(918) 698-0729
Mailing address
1049 E WINDY LN, LANE, OK 74555-1700
(918) 698-0729
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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