Provider Demographics
NPI:1306477799
Name:GARZA, CHRISTINA LEE (LPC, LCDC, NCC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LEE
Last Name:GARZA
Suffix:
Gender:F
Credentials:LPC, LCDC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5030 HOLLY RD STE A
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4759
Mailing Address - Country:US
Mailing Address - Phone:361-946-2256
Mailing Address - Fax:469-535-9909
Practice Address - Street 1:5030 HOLLY RD STE A
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4759
Practice Address - Country:US
Practice Address - Phone:361-946-2256
Practice Address - Fax:469-535-9009
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-04
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12787101YA0400X
TX72395101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)