Krista Hearon Lpc Llc | |
1515 Edgewood Ln Sapulpa OK 74066-4929 | |
(405) 938-5786 | |
Not Available |
Full Name | Krista Hearon Lpc Llc |
---|---|
Speciality | Counselor |
Location | 1515 Edgewood Ln, Sapulpa, Oklahoma |
Authorized Official Name and Position | Krista Hearon (OWNER) |
Authorized Official Contact | 4059385786 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Krista Hearon Lpc Llc 1515 Edgewood Ln Sapulpa OK 74066-4929 Ph: (405) 938-5786 | Krista Hearon Lpc Llc 1515 Edgewood Ln Sapulpa OK 74066-4929 Ph: (405) 938-5786 |
NPI Number | 1003538364 |
---|---|
Provider Enumeration Date | 09/14/2022 |
Last Update Date | 03/15/2024 |
Certification Date | 03/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003538364 | NPI | - | NPPES |
07334 | Other | OK | LPC LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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