Individual
CHRISTINE VICTORIA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
149 BLOSSOM CT, THIBODAUX, LA 70301-9425
(985) 633-4930
Mailing address
149 BLOSSOM CT, THIBODAUX, LA 70301-9425
(985) 633-4930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2237
LA
101YP2500X
Professional Counselor
Primary
2237
LA
Other
Enumeration date
07/06/2006
Last updated
10/06/2015
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