NPI 1710076161 · live from the CMS NPI Registry
Teresina M S Christy, LPC LMFT
Counselor, Professional in Fairfax, VA. National Provider Identifier 1710076161, active.
NPI record
| NPI | 1710076161 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 10555 Main St, Suite 230, Fairfax, VA 22030 |
| Practice phone | 703-352-8533 |
| Mailing address | 10555 Main Street, Suite 230, Fairfax, VA 22030 |
| Enumerated | October 12, 2006 |
| Last updated | August 25, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | 0701001836 (VA) |
| Marriage & Family Therapist | 106H00000X | 0717000488 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.