Individual
LIBBY CHRISTAINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC009612
Contact information
Practice address
131B TOWNHOUSE DR, BLAIRSVILLE, GA 30512-4625
(574) 221-1393
Mailing address
131B TOWNHOUSE DR, BLAIRSVILLE, GA 30512-4625
(574) 221-1393
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000414A
IN
101YM0800X
Mental Health Counselor
39000270A
IN
101YP2500X
Professional Counselor
009612
GA
101YP2500X
Professional Counselor
Primary
LPC009612
GA
1041C0700X
Clinical Social Worker
34002589A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11642390
CAQH PIN
IN
Enumeration date
12/15/2006
Last updated
04/24/2023
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