Provider Demographics
NPI:1356763585
Name:CAIN, KRYSTEN BARNS (MHR, LPC CANDIDATE)
Entity type:Individual
Prefix:
First Name:KRYSTEN
Middle Name:BARNS
Last Name:CAIN
Suffix:
Gender:F
Credentials:MHR, LPC CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16305 E 48TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74134-7292
Mailing Address - Country:US
Mailing Address - Phone:918-808-2617
Mailing Address - Fax:
Practice Address - Street 1:16305 E 48TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74134-7292
Practice Address - Country:US
Practice Address - Phone:918-808-2617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-07
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health