Individual
KRYSTAL N VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
104 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-3834
(918) 216-9665
(918) 400-9685
Mailing address
2201 OAKRIDGE DR, TAHLEQUAH, OK 74464-8827
(918) 216-9665
(918) 400-9685
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC06089
OK
Other
Enumeration date
05/18/2012
Last updated
12/17/2025
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