Provider Demographics
NPI:1023146073
Name:JOSLIN, CHRISTOPHER KENT (MS, LPC, NCC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:KENT
Last Name:JOSLIN
Suffix:
Gender:M
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SOUTHBROOK DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-1904
Mailing Address - Country:US
Mailing Address - Phone:254-616-6757
Mailing Address - Fax:
Practice Address - Street 1:101 SOUTHBROOK DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-1904
Practice Address - Country:US
Practice Address - Phone:254-616-6757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK44150101Y00000X
OK8017101YM0800X
OK1138101YP2500X
TX64824101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1138OtherSTATE OF OKLAHOMA DEPT OF HEALTH, COUNSELOR LICENSING
NC44150OtherNATIONAL BOARD OF CERTIFIED COUNSELORS
OK8017OtherOKLAHOMA DEPT OF MENTAL HEALTH & SUBSTANCE ABUSE SERVICES
TX64824OtherTEXAS DEPARTMENT OF STATE HEALTH SERVICES