MS. MARY KRISTINA CHANCE LADC LCSW NPI 1124338298

NPI Information

  • NPI: 1124338298
  • Provider Name: MS. MARY KRISTINA CHANCE, LADC, LCSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2485 N MAIN ST
    JAY, OK
    ZIP 74346
  • Phone: (918) 253-2550

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NPI Details

MS. Mary Kristina Chance, LADC, LCSW is a mental health counselor in Jay, OK. MS. Mary Kristina Chance, LADC, LCSW NPI is 1124338298. 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:

2485 N MAIN ST
JAY, OK
ZIP 74346-201
Phone: (918) 253-2550
Fax: (918) 253-2122

The enumeration date for this NPI number is 10/7/2010 and was last updated on 6/28/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)814OKLAHOMANo
2101YM0800XCounselorMental HealthYes

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: 3/30/2025

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