Provider Demographics
NPI:1669702007
Name:KIRK, CHRISTINA RENEE (JD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:RENEE
Last Name:KIRK
Suffix:
Gender:F
Credentials:JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5909 NW EXPRESSWAY
Mailing Address - Street 2:SUITE 207
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-5161
Mailing Address - Country:US
Mailing Address - Phone:405-728-3428
Mailing Address - Fax:866-929-5989
Practice Address - Street 1:5909 NW EXPRESSWAY
Practice Address - Street 2:SUITE 207
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-5161
Practice Address - Country:US
Practice Address - Phone:405-728-3428
Practice Address - Fax:866-929-5989
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor