Individual
CHRISTOPHER RYAN MASOPUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114
(918) 712-4301
(918) 560-1399
Mailing address
6301 E 41ST ST, TULSA, OK 74135-6103
(918) 289-0550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6822
OK
Other
Enumeration date
06/09/2015
Last updated
06/14/2018
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