MEDICARE: CHRISTINA AUSTIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1285179473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA AUSTIN

Provider Business Mailing Address
First Line	:	2801 PARKLAWN DR STE 201
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-4229
Country	:	US
Telephone Number	:	405-733-5437
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 PARKLAWN DR STE 201
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-4229
Country	:	US
Telephone Number	:	405-733-5437
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2016
Last Update Date	:	12/27/2016

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Directions to “ CHRISTINA AUSTIN ” Practice Location

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