Individual
CHRISTINE L HENNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, LSATP, CSAC
Contact information
Practice address
501 VILLAGE AVE STE 204, YORKTOWN, VA 23693-5657
(757) 992-9291
(757) 656-5658
Mailing address
501 VILLAGE AVE STE 204, YORKTOWN, VA 23693-5657
(757) 992-9291
(757) 656-5658
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103194
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000273
VA
101YM0800X
Mental Health Counselor
LPC009006
GA
101YP2500X
Professional Counselor
Primary
0701007146
VA
Other
Enumeration date
08/04/2016
Last updated
08/22/2024
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