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Individual

CHRISTINA WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6803 S WESTERN AVE STE 401, OKLAHOMA CITY, OK 73139-1814
(931) 561-5740
Mailing address
6803 S WESTERN AVE STE 401, OKLAHOMA CITY, OK 73139-1814
(931) 561-5740

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
Primary
307462
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110026265
TN
Enumeration date
09/10/2012
Last updated
03/29/2016
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