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Individual

MRS. CHRISTINA MICHELLE DYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
209 ROBIN RD, BRISTOL, TN 37620-2716
(540) 239-2353
Mailing address
209 ROBIN RD, BRISTOL, TN 37620-2716
(540) 239-2353

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0701005015
VA
101YM0800X
Mental Health Counselor
Primary
0701005015
VA

Other

Enumeration date
04/27/2020
Last updated
04/27/2020
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