Individual
CHRISTINA MARIE LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1600 BROAD AVE, GULFPORT, MS 39501-3603
(228) 863-1132
(228) 865-1700
Mailing address
9870 NW UNION RD, MOORESVILLE, IN 46158-6123
(317) 550-7553
(228) 865-1700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1906
MS
101YP2500X
Professional Counselor
Primary
39002270A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018213
—
MS
Enumeration date
08/13/2008
Last updated
10/15/2015
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