KRISTY DEVAN MADDOX BA NPI 1477733251

NPI Information

NPI: 1477733251
Provider Name: KRISTY DEVAN MADDOX, BA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
802 E MAIN ST
SUITE C
STIGLER, OK
ZIP 74462
Phone: (918) 967-4463
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Kristy Devan Maddox, BA is an addiction (substance use disorder) counselor in Stigler, OK. Kristy Devan Maddox, BA NPI is 1477733251. 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:

802 E MAIN ST
SUITE C
STIGLER, OK
ZIP 74462-771
Phone: (918) 967-4463
Fax: (918) 967-2594

The enumeration date for this NPI number is 11/8/2007 and was last updated on 11/8/2007.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

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: 5/5/2024

NPI Synchronization or Removal

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