Individual
CRYSTAL LEIGH WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S, CADC
Contact information
Practice address
2202 N BROADWAY ST, POTEAU, OK 74953-2000
(918) 649-0230
Mailing address
PO BOX 653, POTEAU, OK 74953-0653
(918) 649-0018
(918) 564-2744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
4280
OK
Other
Enumeration date
05/04/2007
Last updated
01/31/2020
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