Individual provider · Type 1 NPI
Tiara Donn McKensie Kruta
Counselor · Mcloud, OK
NPI number
1114791241
Active
Practice location
105828 S Parkwood Meadows Dr
Mcloud, OK 74851-9683
Mailing address
13501 SE 29th St Trlr 121
Choctaw, OK 73020-6652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Professional Counselor | 101YP2500X | 12041 (OK) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1114791241
Tiara Donn McKensie Kruta's National Provider Identifier is 1114791241, issued on Nov 9, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mcloud, OK. The record was last updated on Sep 9, 2025.