Provider Demographics
NPI:1821313511
Name:LUJAN, KRYSTAL ROCHELLE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KRYSTAL
Middle Name:ROCHELLE
Last Name:LUJAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 W HANKS TRL
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-7601
Mailing Address - Country:US
Mailing Address - Phone:580-254-5322
Mailing Address - Fax:580-254-5335
Practice Address - Street 1:1213 W HANKS TRL
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-7601
Practice Address - Country:US
Practice Address - Phone:580-254-5322
Practice Address - Fax:580-254-5335
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3909101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health