Individual
STEPHANIE LATRESE CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
821 W BROADWAY ST, ARDMORE, OK 73401-4526
(580) 224-2830
(580) 223-7856
Mailing address
1612 CARPENTER DR, PLANO, TX 75074-8645
(405) 653-5895
(580) 223-7856
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
98769
TX
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
11460
OK
Other
Enumeration date
11/09/2010
Last updated
04/09/2026
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