Provider Demographics
NPI:1083380919
Name:SHERMAN, CHRISTINA QUAM (LGPC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:QUAM
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 1/2 7TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3206
Mailing Address - Country:US
Mailing Address - Phone:703-398-4816
Mailing Address - Fax:
Practice Address - Street 1:750 1/2 7TH ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3206
Practice Address - Country:US
Practice Address - Phone:703-398-4816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLGPC00452101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health