Provider Demographics
NPI:1023362837
Name:LAPORTE, CHRISTINE MARIA (MFTI)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:MARIA
Last Name:LAPORTE
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:MISS
Other - First Name:CHRISTINE
Other - Middle Name:MARIA
Other - Last Name:WEBSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2415 ATTRIBUTES CT
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-0918
Mailing Address - Country:US
Mailing Address - Phone:702-201-8707
Mailing Address - Fax:
Practice Address - Street 1:3606 N RANCHO DR
Practice Address - Street 2:STE 142
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-3195
Practice Address - Country:US
Practice Address - Phone:702-778-5300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-31
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI0768106H00000X
UT5935526-3503104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist