Individual
CHRISTI LYNN HALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 WANDA STREET, MARIETTA, OK 73448
(580) 276-3323
Mailing address
HC 67 BOX 586, MARIETTA, OK 73448-9422
(580) 276-4525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0092117
OK
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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