MS. Mary Kristina Chance, LADC, LCSW

NPI #1124338298 in Jay, Oklahoma

Provider Information

NPI Number: 1124338298
Entity Type: Individual
Name: MS. Mary Kristina Chance, LADC, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LADC, LCSW
Enumeration Date: Oct 7, 2010
Last Updated: Jun 28, 2019

Practice Location

Address: 2485 N MAIN ST
City: Jay
State: Oklahoma
ZIP Code: 74346-2201
Phone: (918) 253-2550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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