Provider Demographics
NPI:1457791600
Name:SUTHERS, CHRISTABEL GARCIA (LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTABEL
Middle Name:GARCIA
Last Name:SUTHERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14017 HARVEST CIR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-5751
Mailing Address - Country:US
Mailing Address - Phone:405-420-1403
Mailing Address - Fax:
Practice Address - Street 1:1650 W TECUMSEH RD
Practice Address - Street 2:SUITE 500
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-8271
Practice Address - Country:US
Practice Address - Phone:405-321-0240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4227101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional