Most Relevant Information
Provider Data
| NPI Number: | 1003400615 |
| Provider Name: | KRYSTAL SUZANNE WARNES LPC-CANDIDATE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/24/2021 |
| Last Updated: | 02/24/2021 |
Provider Practice Location
111 SEQUOYAH LN STE B-2
ALTUS
OK
735211756
Practice Location Phone/Fax
| Phone: | 5803790203 |
| Fax: |
Provider Mailing Location
111 SEQUOYAH LN STE B-2
ALTUS
OK
735211756
Provider Mailing Phone/Fax
| Phone: | 5803790203 |
| Fax: |