Provider Demographics
NPI:1316532732
Name:HARPER, CHRISTOPHER CARLOS (LMFT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:CARLOS
Last Name:HARPER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4112 SW WENDY DR
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-7538
Mailing Address - Country:US
Mailing Address - Phone:580-280-0963
Mailing Address - Fax:
Practice Address - Street 1:1930 NW FERRIS AVE
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73507-5626
Practice Address - Country:US
Practice Address - Phone:580-730-0232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-08
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
OK11533106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health