Provider Demographics
NPI:1215421714
Name:GIFFEN, CHRISTOPHER VERNON LINDSTROM (LMHC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:VERNON LINDSTROM
Last Name:GIFFEN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 RUCKER AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-1518
Mailing Address - Country:US
Mailing Address - Phone:415-802-3416
Mailing Address - Fax:
Practice Address - Street 1:1101 N STATE ST STE 202
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5066
Practice Address - Country:US
Practice Address - Phone:415-802-3416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-18
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61400261101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health