Provider Demographics
NPI:1275563025
Name:CHRISTIAN, FRANCES M (PHD, LCSW)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 MONUMENT AVE
Mailing Address - Street 2:SUITE 614
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-7005
Mailing Address - Country:US
Mailing Address - Phone:804-355-9322
Mailing Address - Fax:
Practice Address - Street 1:1805 MONUMENT AVE
Practice Address - Street 2:SUITE 614
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-7005
Practice Address - Country:US
Practice Address - Phone:804-355-9322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904000047101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010095140Medicaid
VA010095140Medicaid