Individual
KRISTINE MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 N IRONWOOD AVE, BROKEN ARROW, OK 74012-1505
(918) 251-6552
Mailing address
1114 N IRONWOOD AVE, BROKEN ARROW, OK 74012-1505
(918) 251-6552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02367
OK
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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