Organization
CHRISTINE PACHECO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE RENEE PACHECO LCSW (OWNER/THERAPIST)
(405) 695-5431
Entity
Organization
Contact information
Practice address
1601 S STATE ST, EDMOND, OK 73013-3626
(405) 695-5431
Mailing address
1501 EAGLE DR, EDMOND, OK 73034-6060
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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