MEDICARE: MS. CHRISTIAN KAYE MORGAN

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1023245529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTIAN KAYE MORGAN

Provider Business Mailing Address
First Line	:	4341 S DETROIT AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-3819
Country	:	US
Telephone Number	:	918-691-0933
Fax Number	:

Provider Business Practice Location Address
First Line	:	4341 S DETROIT AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-3819
Country	:	US
Telephone Number	:	918-691-0933
Fax Number	:

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

Provider Enumeration Date	:	06/11/2009
Last Update Date	:	06/11/2009

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