Crystal Renee Smith

NPI #1134429194 in Wagoner, Oklahoma

Provider Information

NPI Number: 1134429194
Entity Type: Individual
Name: Crystal Renee Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 25, 2010
Last Updated: Oct 25, 2010

Practice Location

Address: 2109 S HIGHWAY 69
City: Wagoner
State: Oklahoma
ZIP Code: 74467-9310
Phone: (918) 640-0199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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