Provider Demographics
NPI:1912717463
Name:BUCHANAN, CHRISTINA JOY (CT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:JOY
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:CT
Other - Prefix:MRS
Other - First Name:CHRISTINA
Other - Middle Name:JOY
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:72 RENEE DR
Mailing Address - Street 2:
Mailing Address - City:STRUTHERS
Mailing Address - State:OH
Mailing Address - Zip Code:44471-1516
Mailing Address - Country:US
Mailing Address - Phone:864-704-6583
Mailing Address - Fax:
Practice Address - Street 1:72 RENEE DR
Practice Address - Street 2:
Practice Address - City:STRUTHERS
Practice Address - State:OH
Practice Address - Zip Code:44471-1516
Practice Address - Country:US
Practice Address - Phone:864-704-6583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2406117-TRNE101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health