Individual
CHRISTIANA HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 E VAN BUREN ST, AVONDALE, AZ 85323-1506
(623) 687-1199
Mailing address
16887 W CENTRAL ST, SURPRISE, AZ 85388-1518
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-19809
AZ
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
OTHER
AZ
Enumeration date
12/01/2021
Last updated
10/22/2024
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