Individual
MRS. KRISTI KATHRYN BLAKEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED, BHRS
Contact information
Practice address
5116 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2077
(405) 943-7500
Mailing address
1315 N BROAD ST, GUTHRIE, OK 73044-1828
(405) 831-9844
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
101YS0200X
School Counselor
303586
OK
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
10/13/2010
Last updated
08/15/2011
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