Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Latrese Christian

Individual provider Counselor · NPI 1972804847

Stephanie Latrese Christian is a Mental Health Counselor in Ardmore, Oklahoma. Qualified in 2020, 6 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Oklahoma and Texas.

Years since qualifying
6
Licensed in
OK, TX
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

821 W Broadway St
Ardmore, OK 73401-4526
Phone: (580) 224-2830
Fax: (580) 223-7856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8515 Greenville Ave Ste N108, Dallas, TX 75243-7035 — (214) 221-0855

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 98769 (TX)
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X · Licence 11460 (OK)

Record details

NPI number1972804847
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 9, 2010
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Ardmore