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KRISTAL SHELLEY NICHOLSON MA NPI 1083919104


NPI Information

NPI: 1083919104
Provider Name: KRISTAL SHELLEY NICHOLSON, MA
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
5840 S MEMORIAL DR
SUITE NO. 3003
TULSA, OK
ZIP 74145
Phone: (918) 671-3392
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Kristal Shelley Nicholson, MA is a counselor in Tulsa, OK. The provider is 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. Kristal Shelley Nicholson, MA NPI is 1083919104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5840 S MEMORIAL DR
SUITE NO. 3003
TULSA, OK
ZIP 74145-023
Phone: (918) 671-3392
Fax: (413) 431-1359

The enumeration date for this NPI number is 1/20/2011 and was last updated on 2/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor1768OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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