Kristen Street, MED, LPC | |
2010 Boren Blvd, Seminole, OK 74868-2050 | |
(405) 382-4507 | |
(405) 382-5269 |
Full Name | Kristen Street |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2010 Boren Blvd, Seminole, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508071887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2892 (Oklahoma) | Primary |
Entity Name | State Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588755532 PECOS PAC ID: 4486558962 Enrollment ID: O20031125000846 |
Mailing Address | Practice Location Address |
---|---|
Kristen Street, MED, LPC 7913 Highway 270 Bldg A, Holdenville, OK 74848-6416 Ph: (405) 360-2133 | Kristen Street, MED, LPC 2010 Boren Blvd, Seminole, OK 74868-2050 Ph: (405) 382-4507 |
Dannie Sue Wright, LPC UNDER SUPERVISIO Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 E Evans Ave, Seminole, OK 74868 Phone: 405-382-5438 | |
Miss Christina Faye Lorey, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2010 Boren Blvd, Seminole, OK 74868 Phone: 405-382-4507 Fax: 405-382-5269 | |
Mr. Clifford Dwain Sanders, LPC/LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 E Oak Ave, Seminole, OK 74868 Phone: 405-382-1112 | |
Melissa A Lopez, CM-D, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 E Evans Ave, Seminole, OK 74868 Phone: 405-382-5438 | |
Debra Ann Smith, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 E Evans Ave, Seminole, OK 74868 Phone: 405-382-5438 | |
Mrs. Melanie June Mize, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2010 Boren Blvd, Seminole, OK 74868 Phone: 405-382-4507 | |
Helen Lee Veach, MHR, LADC, CM Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 W Broadway, Seminole, OK 74868 Phone: 405-380-3911 |