Individual
KRISTI LEIGH PATOVISTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7012 E 117TH ST S, BIXBY, OK 74008-8213
(918) 361-6854
Mailing address
7012 E 117TH ST S, BIXBY, OK 74008-8213
(918) 361-6854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11926
OK
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
04/29/2026
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