Individual
KRISTALYNN CHALAE TRAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2727 SW 74TH STREET, OKLAHOMA CITY, OK 73159
(405) 680-0989
Mailing address
2727 SW 74TH STREET, OKLAHOMA CITY, OK 73159
(405) 680-0989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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