Provider Demographics
NPI:1699926469
Name:HAHN, CHRISTINA L (LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:L
Last Name:HAHN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 RIVERCREST BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-2900
Mailing Address - Country:US
Mailing Address - Phone:972-571-0952
Mailing Address - Fax:972-381-4201
Practice Address - Street 1:5055 W PARK BLVD STE 400
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-2590
Practice Address - Country:US
Practice Address - Phone:972-571-0952
Practice Address - Fax:972-381-4201
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-09
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX175881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical