# CHRISTINE MERMILLIOD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1275627937
- **Gender:** F
- **Credential:** MS LPC LMFT NCC LPCC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | C1766 | OR | — |
| 101Y00000X | Counselor | CCMH0223501 | NM | — |
| 101YM0800X | Mental Health Counselor | C1766 | OR | — |
| 101YM0800X | Mental Health Counselor | CCMH0223501 | NM | — |
| 101YP2500X | Professional Counselor | C1766 | OR | — |
| 101YP2500X | Professional Counselor | CCMH0223501 | NM | — |
| 106H00000X | Marriage & Family Therapist | CMF0223491 | NM | — |
| 106H00000X | Marriage & Family Therapist | T0482 | OR | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 14237563 | — | NM |
| 05 | — | TS900J2R | — | OR |