Provider Demographics
NPI:1801966619
Name:ADKINS, CHRISTINA MARIE (LPC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:ADKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14013 SMITHURST RD
Mailing Address - Street 2:STE 2
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-7249
Mailing Address - Country:US
Mailing Address - Phone:405-613-3199
Mailing Address - Fax:405-425-5251
Practice Address - Street 1:2501 E MEMORIAL RD
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-5525
Practice Address - Country:US
Practice Address - Phone:405-613-3199
Practice Address - Fax:405-425-5251
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2101101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional