Provider Demographics
NPI:1619687845
Name:CHRISTINE BRUNER
Entity Type:Organization
Organization Name:CHRISTINE BRUNER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRUNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:405-819-6760
Mailing Address - Street 1:1211 N SHARTEL AVE STE 602
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-2445
Mailing Address - Country:US
Mailing Address - Phone:405-819-6760
Mailing Address - Fax:405-493-9646
Practice Address - Street 1:1211 N SHARTEL AVE STE 602
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-2445
Practice Address - Country:US
Practice Address - Phone:405-819-6760
Practice Address - Fax:405-493-9646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty