Crystal Needham

NPI #1033480033 in Quinton, Oklahoma

Provider Information

NPI Number: 1033480033
Entity Type: Individual
Name: Crystal Needham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jan 23, 2012
Last Updated: Jan 23, 2012

Practice Location

Address: 104 W EP 2030 ST
City: Quinton
State: Oklahoma
ZIP Code: 74561-1066
Phone: (918) 429-2649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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