Provider Demographics
NPI:1245429166
Name:DENTON, CHRISTINA GRATIELA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:GRATIELA
Last Name:DENTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21714 HARDY OAK
Mailing Address - Street 2:STE. 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4838
Mailing Address - Country:US
Mailing Address - Phone:210-954-0554
Mailing Address - Fax:210-690-3999
Practice Address - Street 1:21714 HARDY OAK
Practice Address - Street 2:STE. 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4838
Practice Address - Country:US
Practice Address - Phone:210-954-0554
Practice Address - Fax:210-690-3999
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18984101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional