Provider Demographics
NPI:1013225762
Name:DOWNS, CRYSTAL LEE (MASTERS VOC REHAB)
Entity Type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:LEE
Last Name:DOWNS
Suffix:
Gender:F
Credentials:MASTERS VOC REHAB
Other - Prefix:MISS
Other - First Name:CRYSTAL
Other - Middle Name:LEE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BACHELORS VOC REHAB
Mailing Address - Street 1:14814 N 60TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74021-5728
Mailing Address - Country:US
Mailing Address - Phone:918-991-3317
Mailing Address - Fax:
Practice Address - Street 1:1013 E 66TH PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3701
Practice Address - Country:US
Practice Address - Phone:918-293-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKE080280977101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor