Individual
MS. CHRISTINA MARILEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2442 MOHAWK BLVD, TULSA, OK 74110
(918) 430-0975
(918) 430-0995
Mailing address
P.O. BOX 580700, TULSA, OK 74158-0700
(918) 430-0975
(918) 430-0995
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5070
OK
Other
Enumeration date
07/01/2010
Last updated
03/10/2016
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