Provider Demographics
NPI:1548702798
Name:HAMNER, CHRISTIE M (LADC/MH, LPC)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:M
Last Name:HAMNER
Suffix:
Gender:F
Credentials:LADC/MH, LPC
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:M
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LADC/MH
Mailing Address - Street 1:1117 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:CUSHING
Mailing Address - State:OK
Mailing Address - Zip Code:74023-4540
Mailing Address - Country:US
Mailing Address - Phone:918-306-1791
Mailing Address - Fax:918-376-0170
Practice Address - Street 1:321 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CUSHING
Practice Address - State:OK
Practice Address - Zip Code:74023-2643
Practice Address - Country:US
Practice Address - Phone:918-306-1791
Practice Address - Fax:918-376-0170
Is Sole Proprietor?:No
Enumeration Date:2016-11-04
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor