Provider Demographics
NPI:1811350085
Name:BARZELLONE, CHRISTINE RENE
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:RENE
Last Name:BARZELLONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 S 63RD ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74014-2636
Mailing Address - Country:US
Mailing Address - Phone:918-729-9772
Mailing Address - Fax:
Practice Address - Street 1:2450 N HARVARD AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74115-3140
Practice Address - Country:US
Practice Address - Phone:918-508-7136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor