Provider Demographics
NPI:1619843307
Name:MACCARI, CHRISTINA ELIZABETH (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ELIZABETH
Last Name:MACCARI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TIA
Other - Middle Name:
Other - Last Name:MACCARI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:251 SHAWMONT AVE APT C
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-4214
Mailing Address - Country:US
Mailing Address - Phone:267-918-8679
Mailing Address - Fax:
Practice Address - Street 1:251 SHAWMONT AVE APT C
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-4214
Practice Address - Country:US
Practice Address - Phone:267-918-8679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-11
Last Update Date:2025-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC019423101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional