Individual provider · Type 1 NPI

Chrystal Ann Probasco, LADC

Addiction (Substance Use Disorder) Counselor · Tulsa, OK

NPI number 1093731481 Active

Practice location

550 S Peoria Ave
Tulsa, OK 74120-3820

Fax (918) 582-6405

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X383 (OK)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093731481

Chrystal Ann Probasco, LADC's National Provider Identifier is 1093731481, issued on Jul 15, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tulsa, OK. The record was last updated on Jul 8, 2007.