Individual
CHRISTYNA SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5194 COUNTY ROAD 170, CELINA, TX 75009-4900
(817) 875-3849
Mailing address
5194 COUNTY ROAD 170, CELINA, TX 75009-4900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
78179
TX
101YM0800X
Mental Health Counselor
78179
TX
101YP2500X
Professional Counselor
Primary
78179
TX
101YS0200X
School Counselor
—
TX
405300000X
Prevention Professional
78179
TX
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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