Provider Demographics
NPI:1285922484
Name:HALL, CHRISTIN N (MA, LPC)
Entity type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:N
Last Name:HALL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:CHRISTIN
Other - Middle Name:N
Other - Last Name:ALFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC INTERN
Mailing Address - Street 1:12 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-4136
Mailing Address - Country:US
Mailing Address - Phone:806-356-0404
Mailing Address - Fax:806-356-0590
Practice Address - Street 1:12 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4136
Practice Address - Country:US
Practice Address - Phone:806-356-0404
Practice Address - Fax:806-356-0590
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65842101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional