# CHRISTINE MARY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811089642
- **Gender:** F
- **Credential:** LLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 04/03/2014