Individual
CHRISTINA LEE FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 14TH AVE, LONGVIEW, WA 98632
(360) 423-0203
(360) 577-0269
Mailing address
PO BOX 1847, LONGVIEW, WA 98632
(360) 423-0203
(360) 577-0269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60816013
WA
101YM0800X
Mental Health Counselor
Primary
CG60816013
WA
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098050
—
WA
Enumeration date
02/21/2007
Last updated
11/08/2019
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