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General NPI Number Information
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NPI Number | 1730850553
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Entity Type | Individual
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Provider Name | CHRISTIE DEAN COLBERT
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Gender | Female
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 101 S 2ND ST
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City | MCALESTER
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State | OK
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Zip | 74501-5338
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Country | US
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Telephone | 918-937-4926
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Fax |
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Provider Business Mailing Address
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Address Line | 121 W CRISLER AVE
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City | MCALESTER
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State | OK
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Zip | 74501-3003
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Country | US
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Telephone | 918-820-2929
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC13184
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License Number State | OK
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