Individual
CHRISTINE PARKER CIVELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-A
Contact information
Practice address
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2089
(425) 640-7009
Mailing address
100 N HOWARD ST, SPOKANE, WA 99201-0508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
94545
TX
101YM0800X
Mental Health Counselor
Primary
MC61690745
WA
Other
Enumeration date
04/23/2025
Last updated
07/23/2025
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