| Doctor Name: | MRS. CHRISTINE ANN NIDA |
| NPI Number: | 1164741062 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MHR, LPC |
| License Number: | 3928 |
| Business Practice Address: | 320 Dewey Ave Poteau, OK - 749534212 |
| Business Phone Number: | 9186474196 |
| Business Fax Number: | |
| Mailing Address: | 39995 Round Mtn Ln, HOWE |
| State: | OK |
| Postal Code: | 749407415 |
| Phone Number: | 9186585027 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2010 |
| NPI Last Update Date: | 05/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3928 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |