Provider Demographics
NPI:1962058487
Name:DUDO, CHRISTINA (LMFT, RPT, IMH-E)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:
Last Name:DUDO
Suffix:
Gender:F
Credentials:LMFT, RPT, IMH-E
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6116 S CLARK DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-3305
Mailing Address - Country:US
Mailing Address - Phone:602-621-0366
Mailing Address - Fax:
Practice Address - Street 1:401 W BASELINE RD STE 210
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-5350
Practice Address - Country:US
Practice Address - Phone:480-630-4340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-12
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT-15287106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist