Provider Demographics
NPI:1922696558
Name:GREGG, KARALEE (BS MS)
Entity Type:Individual
Prefix:
First Name:KARALEE
Middle Name:
Last Name:GREGG
Suffix:
Gender:F
Credentials:BS MS
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1500 N IRONWOOD PL
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-1515
Mailing Address - Country:US
Mailing Address - Phone:918-891-7686
Mailing Address - Fax:
Practice Address - Street 1:109 S HARRILL AVE
Practice Address - Street 2:
Practice Address - City:WAGONER
Practice Address - State:OK
Practice Address - Zip Code:74467-5317
Practice Address - Country:US
Practice Address - Phone:918-485-0242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health