Provider Demographics
NPI:1932523941
Name:WILLIAMS, CHRISTOPHER RAY (MS PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:RAY
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MS PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 S. WILSON ST
Mailing Address - Street 2:
Mailing Address - City:POTEAU
Mailing Address - State:OK
Mailing Address - Zip Code:74953-9071
Mailing Address - Country:US
Mailing Address - Phone:918-649-0011
Mailing Address - Fax:918-649-0066
Practice Address - Street 1:210 S. WILSON ST
Practice Address - Street 2:
Practice Address - City:POTEAU
Practice Address - State:OK
Practice Address - Zip Code:74953-9071
Practice Address - Country:US
Practice Address - Phone:918-649-0011
Practice Address - Fax:918-649-0066
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-11
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLPCCANDIDATE11318101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor