Individual
MISS CHRISTINA M HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., MHP
Contact information
Practice address
7416 212TH ST SW, EDMONDS, WA 98026-7602
(425) 245-5800
Mailing address
1262 E 17TH ST, IDAHO FALLS, ID 83404-6126
(208) 605-7070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO61295070
WA
101YM0800X
Mental Health Counselor
LH60933768
WA
101YP2500X
Professional Counselor
Primary
6161678
ID
Other
Enumeration date
09/30/2010
Last updated
04/01/2026
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