Provider Demographics
NPI:1407066202
Name:HILL, CHRISTINA ANN (MA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:ANN
Last Name:HILL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:CHRISTINA
Other - Middle Name:ANN
Other - Last Name:DEBRULER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:376 WEXFORD DR
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:KY
Mailing Address - Zip Code:41094-8376
Mailing Address - Country:US
Mailing Address - Phone:859-485-1073
Mailing Address - Fax:
Practice Address - Street 1:3629 CHURCH ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41015-1430
Practice Address - Country:US
Practice Address - Phone:859-581-8974
Practice Address - Fax:859-581-9595
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool