Provider Demographics
NPI:1174779847
Name:CHRISTIAN, LINDA HARTZ (LPC)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:HARTZ
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:KAY
Other - Last Name:HARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 N LEE AVE
Mailing Address - Street 2:49 N
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1036
Mailing Address - Country:US
Mailing Address - Phone:405-272-4934
Mailing Address - Fax:405-270-7576
Practice Address - Street 1:1000 N LEE AVE
Practice Address - Street 2:49 N
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-1036
Practice Address - Country:US
Practice Address - Phone:405-272-4934
Practice Address - Fax:405-270-7576
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2765101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional