Individual
MRS. TERESA MICHELE CROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10036 NW 137TH ST, YUKON, OK 73099-8228
(405) 283-9981
Mailing address
10036 NW 137TH ST, YUKON, OK 73099-8228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OK
101YM0800X
Mental Health Counselor
—
OK
Other
Enumeration date
02/11/2009
Last updated
04/08/2015
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