Individual
KRISTIN LEANN GREENUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSBS, LPC-CANDIDATE
Contact information
Practice address
506 HIGHWAY 271 N, ANTLERS, OK 74523-2014
(580) 298-3001
Mailing address
PO BOX 781, ELGIN, OK 73538-0781
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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