Individual
CHRISTA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5725 S 391ST WEST AVE, MANNFORD, OK 74044-6013
(918) 237-8019
Mailing address
5725 S 391ST WEST AVE, MANNFORD, OK 74044-6013
(918) 237-8019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OK
101YP2500X
Professional Counselor
Primary
10025
OK
Other
Enumeration date
12/11/2014
Last updated
12/18/2023
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