Individual
MS. CHRISTINA ANN MOUTRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
411 E PARK ST STE 106, CHAMPAIGN, IL 61820-3862
(815) 683-8185
Mailing address
411 E PARK ST STE 106, CHAMPAIGN, IL 61820-3862
(815) 683-8185
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.021204
IL
Other
Enumeration date
09/21/2007
Last updated
02/13/2025
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