Provider Demographics
NPI:1154645935
Name:DOWNTON, CHRISTINA ELIZABETH (LLMSW, QMHP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:ELIZABETH
Last Name:DOWNTON
Suffix:
Gender:F
Credentials:LLMSW, QMHP
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Mailing Address - Street 1:620 HIDDEN VALLEY CLUB DR
Mailing Address - Street 2:APT 107
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-8020
Mailing Address - Country:US
Mailing Address - Phone:734-384-0162
Mailing Address - Fax:
Practice Address - Street 1:1001 S RAISINVILLE RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-9754
Practice Address - Country:US
Practice Address - Phone:734-384-8949
Practice Address - Fax:734-243-0145
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI68010880241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1245303890Medicaid