Provider Demographics
NPI:1811280449
Name:ROSEN, CHRISTINA M (EDD LCAS, LCMHC, NCC)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:M
Last Name:ROSEN
Suffix:
Gender:F
Credentials:EDD LCAS, LCMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 CARRITUCK CT
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-3862
Mailing Address - Country:US
Mailing Address - Phone:828-292-0959
Mailing Address - Fax:
Practice Address - Street 1:410 CARRITUCK CT
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-3862
Practice Address - Country:US
Practice Address - Phone:828-292-0959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-16
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1388101YA0400X
NC7345101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional