Provider Demographics
NPI:1417111774
Name:NELSON, CHRISTI DAWN (LPC, LCDC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTI
Middle Name:DAWN
Last Name:NELSON
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 POST OAK TRL
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-4485
Mailing Address - Country:US
Mailing Address - Phone:469-712-5080
Mailing Address - Fax:
Practice Address - Street 1:1306 POST OAK TRL
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-4485
Practice Address - Country:US
Practice Address - Phone:469-712-5080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80981101YP2500X, 101YM0800X
TX10722101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)