Individual
CHRISTIE MENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
1007 RANCH ROAD 620 S, LAKEWAY, TX 78734-5634
(505) 410-6666
Mailing address
PO BOX 340395, LAKEWAY, TX 78734-0007
(505) 410-6666
(505) 410-6666
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
75050
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-3513587
TAX ID:
—
Enumeration date
01/09/2018
Last updated
01/09/2018
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