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Ms. Crysta Jean Brock, LPC
Professional Counselor in Oklahoma City, Oklahoma
NPI 1447697313

Crysta Jean Brock is a Professional Counselor based in Oklahoma City, OK and is specialized in Professional. Crysta Jean Brock practices in Oklahoma City, OK and has the professional credentials of LPC. The NPI Number for Crysta Jean Brock is 1447697313 and holds a License No. 5742 (Oklahoma).

The current practice location address for Crysta Jean Brock is 1630 N Blackwelder Ave # 5, Oklahoma City, OK and can be reached out via phone at 405-400-7007 and via fax at 405-400-7007.

Location: 1630 N Blackwelder Ave # 5, Oklahoma City, OK, 73106-2074
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Provider Profile Details
NPI Number
1447697313
Provider Name
Crysta Jean Brock
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1630 N Blackwelder Ave # 5, Oklahoma City, OK, 73106-2074
Phone Number
405-400-7007
Fax Number
405-400-7007
Provider Enumeration Date
05/31/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100728800C 05 OK
institution
Provider Business Practice Location Address Details
Address
1630 N Blackwelder Ave # 5
City
State
Zip
73106-2074
Phone Number
405-400-7007
Fax Number
405-400-7007
person
Provider Business Mailing Address Details
Address
1630 N Blackwelder Ave # 5
City
State
Zip
73106-2074
Phone Number
405-400-7007
Fax Number
405-400-7007
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5742 (Oklahoma)
Definition
Definition to come...
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