Provider Demographics
NPI:1891205738
Name:ABRAM-GARCIA, CRYSTAL L
Entity Type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:L
Last Name:ABRAM-GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CRYSTAL
Other - Middle Name:L
Other - Last Name:ABRAM-GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:128 W I 240 SERVICE RD # 1053
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-8031
Mailing Address - Country:US
Mailing Address - Phone:405-422-0029
Mailing Address - Fax:405-592-8575
Practice Address - Street 1:3909 SE 29TH ST STE 160
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-2616
Practice Address - Country:US
Practice Address - Phone:405-422-0029
Practice Address - Fax:405-592-8575
Is Sole Proprietor?:No
Enumeration Date:2017-10-05
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator