Provider Demographics
NPI:1619269255
Name:HOLLOWAY, CRISTINA MICHELLE (MA, LMFT CANDIDATE)
Entity Type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:MICHELLE
Last Name:HOLLOWAY
Suffix:
Gender:F
Credentials:MA, LMFT CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 MUZZY ST
Mailing Address - Street 2:
Mailing Address - City:CHOCTAW
Mailing Address - State:OK
Mailing Address - Zip Code:73020-8585
Mailing Address - Country:US
Mailing Address - Phone:405-816-0608
Mailing Address - Fax:
Practice Address - Street 1:3040 MUZZY ST
Practice Address - Street 2:
Practice Address - City:CHOCTAW
Practice Address - State:OK
Practice Address - Zip Code:73020-8585
Practice Address - Country:US
Practice Address - Phone:405-816-0608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-13
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor