Provider Demographics
NPI:1285974089
Name:BRUNER, CHRISTINE JANE (LMFT)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:JANE
Last Name:BRUNER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 N SHARTEL AVE STE 602
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-2445
Mailing Address - Country:US
Mailing Address - Phone:405-819-6760
Mailing Address - Fax:405-939-6464
Practice Address - Street 1:1211 N SHARTEL AVE STE 602
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-2445
Practice Address - Country:US
Practice Address - Phone:405-819-6760
Practice Address - Fax:405-493-9646
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1313101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health