Provider Demographics
NPI:1003056458
Name:PARHAM, CHRISTINA LEIGH (MA, CCDP, CAC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LEIGH
Last Name:PARHAM
Suffix:
Gender:F
Credentials:MA, CCDP, CAC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:LEIGH
Other - Last Name:CAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:189 STORRS ROAD
Mailing Address - Street 2:NATCHAUG HOSPITAL, INC.
Mailing Address - City:MANSFIELD CENTER
Mailing Address - State:CT
Mailing Address - Zip Code:06250
Mailing Address - Country:US
Mailing Address - Phone:860-456-1311
Mailing Address - Fax:
Practice Address - Street 1:189 STORRS RD
Practice Address - Street 2:NATCHAUG HOSPITAL, INC.
Practice Address - City:MANSFIELD CENTER
Practice Address - State:CT
Practice Address - Zip Code:06250-1683
Practice Address - Country:US
Practice Address - Phone:860-456-1311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCAC-5033101YA0400X
CCDP-5033101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)