Individual
DR. CHRISTINA LYNN DEMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMHC
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 555-5555
Mailing address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH61579686
WA
101YM0800X
Mental Health Counselor
MHC-354
HI
101YP2500X
Professional Counselor
277251
KY
1041C0700X
Clinical Social Worker
34011363A
IN
1041C0700X
Clinical Social Worker
I.2405559
OH
1041C0700X
Clinical Social Worker
Primary
LCSW-4951
HI
Other
Enumeration date
12/21/2012
Last updated
11/15/2024
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