Individual
CHRISTA GOODALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6216 S LEWIS AVE STE 180, TULSA, OK 74136-1077
(918) 960-7852
Mailing address
706 DALEWOOD LN, PONCA CITY, OK 74604-3901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12323
OK
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
03/28/2023
Last updated
01/15/2026
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