Kristina Wood, LADC-MH SUPERVISION

NPI #1568158293 in Tishomingo, Oklahoma

Provider Information

NPI Number: 1568158293
Entity Type: Individual
Name: Kristina Wood, LADC-MH SUPERVISION
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC-MH SUPERVISION
Enumeration Date: Apr 14, 2023
Last Updated: May 22, 2023

Practice Location

Address: 102 E 4TH ST
City: Tishomingo
State: Oklahoma
ZIP Code: 73460-2002
Phone: (580) 257-9614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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