Provider Demographics
NPI:1962631911
Name:HAMNER, CHRISTINE (MS, LPC, LADC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:HAMNER
Suffix:
Gender:F
Credentials:MS, LPC, LADC
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:HAMNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, LADC
Mailing Address - Street 1:231 E GRAHAM AVE
Mailing Address - Street 2:
Mailing Address - City:PRYOR
Mailing Address - State:OK
Mailing Address - Zip Code:74361
Mailing Address - Country:US
Mailing Address - Phone:918-825-1405
Mailing Address - Fax:
Practice Address - Street 1:231 E GRAHAM AVE
Practice Address - Street 2:
Practice Address - City:PRYOR
Practice Address - State:OK
Practice Address - Zip Code:74361-2436
Practice Address - Country:US
Practice Address - Phone:918-825-1405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK907101YA0400X
OKLPC05082101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)