Provider Demographics
NPI:1073881553
Name:UCHIDA, CRISTIANE
Entity Type:Individual
Prefix:
First Name:CRISTIANE
Middle Name:
Last Name:UCHIDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CRISTIANE
Other - Middle Name:GRANADO
Other - Last Name:UCHIDA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, NCC, APC
Mailing Address - Street 1:5755 N POINT PKWY STE 7530022
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1142
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5755 N POINT PKWY STE 7530022
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1142
Practice Address - Country:US
Practice Address - Phone:770-645-8933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC003201101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health