Individual
MRS. TINA C CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
11316 E 58TH TER, RAYTOWN, MO 64133-3453
(816) 739-4799
Mailing address
PO BOX 16741, RAYTOWN, MO 64133-0841
(816) 873-1968
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2014007648
MO
101YA0400X
Addiction (Substance Use Disorder) Counselor
2014007648
MO
101YM0800X
Mental Health Counselor
Primary
2014007648
MO
101YP2500X
Professional Counselor
2014007648
MO
Other
Enumeration date
03/17/2014
Last updated
03/11/2019
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