Individual
CRYSTAL DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
2502 CROSSROADS DR, ARDMORE, OK 73401-2503
(580) 226-4800
Mailing address
2502 CROSSROADS DR, ARDMORE, OK 73401-2503
(580) 226-4800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
07/17/2012
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