Provider Demographics
NPI:1225470644
Name:CHRISTIE, LORI-ANN (LCMHC)
Entity Type:Individual
Prefix:MS
First Name:LORI-ANN
Middle Name:
Last Name:CHRISTIE
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:MS
Other - First Name:LORI-ANN
Other - Middle Name:
Other - Last Name:CHRISTIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:52 PROSPECT STREET
Mailing Address - Street 2:APT 3
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602
Mailing Address - Country:US
Mailing Address - Phone:802-272-6686
Mailing Address - Fax:
Practice Address - Street 1:52 PROSPECT STREET
Practice Address - Street 2:APT 3
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602
Practice Address - Country:US
Practice Address - Phone:802-272-6686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0067298101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health