MEDICARE: CHRISTIE DEAN COLBERT

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	LPCC13184	OK

General Provider Information

NPI Number	:	1730850553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIE DEAN COLBERT

Provider Business Mailing Address
First Line	:	121 W CRISLER AVE
Second Line	:
City	:	MCALESTER
State	:	OK
Zip	:	74501-3003
Country	:	US
Telephone Number	:	918-820-2929
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 S 2ND ST
Second Line	:
City	:	MCALESTER
State	:	OK
Zip	:	74501-5338
Country	:	US
Telephone Number	:	918-937-4926
Fax Number	:

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

Provider Enumeration Date	:	09/22/2021
Last Update Date	:	01/15/2026

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Directions to “ CHRISTIE DEAN COLBERT ” Practice Location

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