Individual
MRS. CHRISTINE MARIE EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CBT. LPC
Contact information
Practice address
204 E CHOCTAW AVE, SALLISAW, OK 74955-4604
(918) 790-2292
(918) 790-2291
Mailing address
111047 S 4700 RD, MULDROW, OK 74948-6812
(918) 510-1873
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3850
OK
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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