Individual
CHRISTA LEA CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-ASSOCIATE
Contact information
Practice address
16915 WALDEN RD STE 205, MONTGOMERY, TX 77356-3219
(936) 548-1198
Mailing address
11325 MAJESTIC DR, MONTGOMERY, TX 77316-9662
(607) 483-8588
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
91025
TX
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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