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NPI Code Detail

MEDICARE: MRS. KRASHELLE RENAE CUFFY

MEDICARE:  MRS. KRASHELLE RENAE CUFFY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor10331OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306482542
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRASHELLE RENAE CUFFY
Provider Business Mailing Address
First Line : 31609 E 64TH ST S
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74014-8583
Country : US
Telephone Number : 786-520-1353
Fax Number :
Provider Business Practice Location Address
First Line : 2035 W HOUSTON ST STE A
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-8792
Country : US
Telephone Number : 918-324-4803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2019
Last Update Date : 02/04/2026

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Directions to “ MRS. KRASHELLE RENAE CUFFY ” Practice Location

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