Individual provider · Type 1 NPI
Kristina Wood, LADC-MH SUPERVISION
Addiction (Substance Use Disorder) Counselor · Tishomingo, OK
NPI number
1568158293
Active
Practice location
102 E 4th St
Tishomingo, OK 73460-2002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Tishomingo
About NPI 1568158293
Kristina Wood, LADC-MH SUPERVISION's National Provider Identifier is 1568158293, issued on Apr 14, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tishomingo, OK. The record was last updated on May 22, 2023.