Individual
CHRISTINA EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LPC, NCC
Contact information
Practice address
110 JERICHO TPKE STE 212, FLORAL PARK, NY 11001-2019
(732) 936-7340
Mailing address
22 HAWLEY LN, MONROE, CT 06468-1249
(929) 232-4540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009472
NY
101YP2500X
Professional Counselor
LPC012795
GA
Other
Enumeration date
10/19/2017
Last updated
07/29/2025
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