Individual provider · Type 1 NPI
Latasha Marie Cruikshank
Mental Health Counselor · Oklahoma City, OK
NPI number
1407107758
Active
Practice location
1300 Garland Ave
Oklahoma City, OK 73111-4710
Mailing address
PO Box 60933
Oklahoma City, OK 73146-0933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1407107758
Latasha Marie Cruikshank's National Provider Identifier is 1407107758, issued on Sep 26, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Sep 26, 2012.