Provider Demographics
NPI:1417297706
Name:STROM, CHRISTINA THI (LMFT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:THI
Last Name:STROM
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:NINA
Other - Middle Name:THI
Other - Last Name:STROM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:13620 LINCOLN WAY STE 380
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-3269
Mailing Address - Country:US
Mailing Address - Phone:530-888-9858
Mailing Address - Fax:791-674-6456
Practice Address - Street 1:13620 LINCOLN WAY STE 380
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-3269
Practice Address - Country:US
Practice Address - Phone:530-888-9858
Practice Address - Fax:791-674-6456
Is Sole Proprietor?:No
Enumeration Date:2013-02-22
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
CA84607106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)