Individual
KRYSTAL CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8810 S YALE AVE STE B, TULSA, OK 74137-3551
(918) 760-5243
Mailing address
11624 S 105TH EAST AVE, BIXBY, OK 74008-3034
(918) 277-9627
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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