Individual
CHRISTINA MARIE MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCPC
Contact information
Practice address
601 E 3RD ST, SUITE 302, ALTON, IL 62002-6318
(618) 465-9747
Mailing address
1315 SCHULTE HILL DR, MARYLAND HEIGHTS, MO 63043-3630
(314) 877-9165
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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