Individual
KRISTEN STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
2010 BOREN BLVD, SEMINOLE, OK 74868-2050
(405) 382-4507
(405) 382-5269
Mailing address
7913 HIGHWAY 270 BLDG A, HOLDENVILLE, OK 74848-6416
(405) 360-2133
(405) 360-2252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2892
OK
Other
Enumeration date
05/11/2007
Last updated
01/03/2024
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