Smith, Crystal M

Smith, Crystal M is an individual health care provider with primary practice located at 520 E Main St , Ada OK 74820-5610. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smith, Crystal M can be contacted via phone (580) 310-9000.

Contact Information

Primary practice address
520 E Main St Ada OK 74820-5610
Phone: (580) 310-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oklahoma

Profile Details

NPI number 1457554388
LBN Legal business name Smith, Crystal M
Credentials LADC UNDER SUPERVISI
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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