Provider Demographics
NPI:1962712760
Name:ROBBERSON, CHRISTIANNE MICHELLE (MED, MT, LPCC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIANNE
Middle Name:MICHELLE
Last Name:ROBBERSON
Suffix:
Gender:F
Credentials:MED, MT, LPCC
Other - Prefix:
Other - First Name:CHRISTI
Other - Middle Name:MICHELLE
Other - Last Name:PICKENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT, MED, LPCC
Mailing Address - Street 1:12301 S MAY AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-4502
Mailing Address - Country:US
Mailing Address - Phone:405-693-8699
Mailing Address - Fax:
Practice Address - Street 1:300 S 5TH ST
Practice Address - Street 2:
Practice Address - City:NOBLE
Practice Address - State:OK
Practice Address - Zip Code:73068-8804
Practice Address - Country:US
Practice Address - Phone:405-872-3406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101YM0800X, 101YS0200X, 101YP2500X
225A00000X, 225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor