| Krista Hearon LPC LLC | |
|
1515 Edgewood Ln Sapulpa OK 74066-4929 | |
| (405) 938-5786 | |
| Not Available |
| Full Name | Krista Hearon LPC LLC |
|---|---|
| Speciality | Counselor |
| Location | 1515 Edgewood Ln, Sapulpa, Oklahoma |
| Authorized Official Name and Position | Krista Hearon (OWNER) |
| Authorized Official Contact | 4059385786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Hearon LPC LLC 1515 Edgewood Ln Sapulpa OK 74066-4929 Ph: (405) 938-5786 | Krista Hearon LPC LLC 1515 Edgewood Ln Sapulpa OK 74066-4929 Ph: (405) 938-5786 |
| NPI Number | 1003538364 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 03/15/2024 |
| Certification Date | 03/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003538364 | NPI | - | NPPES |
| 07334 | Other | OK | LPC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (NU) | Primary |
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