Provider Demographics
NPI:1669627386
Name:MORTON, KRISSI ANN (BA, BHRS)
Entity Type:Individual
Prefix:
First Name:KRISSI
Middle Name:ANN
Last Name:MORTON
Suffix:
Gender:F
Credentials:BA, BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 SQUIRES
Mailing Address - Street 2:SUITE 100M
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-2558
Mailing Address - Country:US
Mailing Address - Phone:405-372-7555
Mailing Address - Fax:
Practice Address - Street 1:424 SQUIRES
Practice Address - Street 2:SUITE 100M
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-2558
Practice Address - Country:US
Practice Address - Phone:405-372-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)