Provider Demographics
NPI:1376017350
Name:ARMSTRONG, CHRISTINA DIAN
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:DIAN
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 S GADWALL LN
Mailing Address - Street 2:
Mailing Address - City:DOWNS
Mailing Address - State:IL
Mailing Address - Zip Code:61736-9357
Mailing Address - Country:US
Mailing Address - Phone:618-553-8747
Mailing Address - Fax:
Practice Address - Street 1:106 S GADWALL LN
Practice Address - Street 2:
Practice Address - City:DOWNS
Practice Address - State:IL
Practice Address - Zip Code:61736-9357
Practice Address - Country:US
Practice Address - Phone:618-553-8747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0135461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical