Individual provider · Type 1 NPI

Crystal Coetzee

Addiction (Substance Use Disorder) Counselor · Edmond, OK

NPI number 1124402706 Active

Practice location

1985 W 33rd St
Edmond, OK 73013-3875

Mailing address

10401 Glover River Dr
Yukon, OK 73099-2059

Other practice locations

  • 5208 Classen Cir, Oklahoma City, OK 73118-4429 · (405) 810-1766
  • 5208 Classen Cir, Oklahoma City, OK 73118-4429 · (405) 810-1766

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1124402706

Crystal Coetzee's National Provider Identifier is 1124402706, issued on Jul 14, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Edmond, OK. The record was last updated on Mar 17, 2018.