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CHRISTOPHER NANMA MINER KATTIEMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
6440 S LEWIS AVE STE 2200, TULSA, OK 74136-1060
(918) 712-0859
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
Primary
6155
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100746170G
OK
Enumeration date
09/30/2014
Last updated
04/22/2024
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