Provider Demographics
NPI:1770935678
Name:HUGHES, CRYSTAL (MDIV)
Entity type:Individual
Prefix:MS
First Name:CRYSTAL
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 S MARGENE DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-4218
Mailing Address - Country:US
Mailing Address - Phone:405-816-4477
Mailing Address - Fax:
Practice Address - Street 1:215 S MARGENE DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-4218
Practice Address - Country:US
Practice Address - Phone:405-816-4477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor