Individual provider · Type 1 NPI

Crystal Renee Smith

Mental Health Counselor · Wagoner, OK

NPI number 1134429194 Active

Practice location

2109 S Highway 69
Wagoner, OK 74467-9310

Fax (918) 756-2126

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1134429194

Crystal Renee Smith's National Provider Identifier is 1134429194, issued on Oct 25, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wagoner, OK. The record was last updated on Oct 25, 2010.