Provider Demographics
NPI:1083780860
Name:FLORES, CHRISTINA L (MSW, LCSW, BCD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:L
Last Name:FLORES
Suffix:
Gender:F
Credentials:MSW, LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2561-2 E. FORT LOWELL RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-1540
Mailing Address - Country:US
Mailing Address - Phone:520-244-9239
Mailing Address - Fax:520-244-9239
Practice Address - Street 1:2802 N ALVERNON WAY STE 300
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1500
Practice Address - Country:US
Practice Address - Phone:520-795-2396
Practice Address - Fax:520-795-2069
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-25
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-01671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
24139OtherAMERICAN BOARD OF EXAMINE
4454804OtherAETNA PIN#
881772939OtherNASW
055399000OtherMAGELLAN BEHAVIORAL
AZLCSW-0167OtherLICENCE