Individual provider · Type 1 NPI

Mystic D. Crenshaw

Counselor · Broken Arrow, OK

NPI number 1366740680 Active

Practice location

3100 S Elm Pl Ste B
Broken Arrow, OK 74012-7950

Call (918) 286-2535 Map

Fax (918) 286-7693

Mailing address

1008 N Cherokee Ave
Claremore, OK 74017-5839

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1366740680

Mystic D. Crenshaw's National Provider Identifier is 1366740680, issued on Mar 10, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Mar 10, 2011.