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Crystal Birchfield
Peer Specialist in Ardmore, Oklahoma
NPI 1558870287

Crystal Birchfield is a Peer Specialist based in Kingston, OK. Crystal Birchfield practices in Ardmore, OK. The NPI Number for Crystal Birchfield is 1558870287 and holds a License No. (Oklahoma).

The current practice location address for Crystal Birchfield is 1101 12Th Ave Nw, Ardmore, OK and can be reached out via phone at 580-798-4523. You can also correspond with Crystal Birchfield through the mailing address at 4159 MILLER DR, KINGSTON, OK - 73439 (mailing address contact number: 580-564-3820).

Location: 1101 12Th Ave Nw, Ardmore, OK, 73439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558870287
Provider Name
Crystal Birchfield
Credential
Provider Entity Type
Individual
Gender
Female
Address
1101 12Th Ave Nw, Ardmore, OK, 73439
Phone Number
580-798-4523
Fax Number
Provider Enumeration Date
09/26/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
071381109 01 CO DRIVERS LICENCE
institution
Provider Business Practice Location Address Details
Address
1101 12Th Ave Nw
City
Ardmore
State
Oklahoma
Zip
73401-5736
Phone Number
580-798-4523
Fax Number
person
Provider Business Mailing Address Details
Address
4159 Miller Dr
City
Kingston
State
Oklahoma
Zip
73439
Phone Number
580-564-3820
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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