Provider Demographics
NPI:1417388992
Name:WEHNER, CRISTINA (MTSC,LPCS,CSATS,CHFP)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:WEHNER
Suffix:
Gender:F
Credentials:MTSC,LPCS,CSATS,CHFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21345 CATAWBA AVE
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8505
Mailing Address - Country:US
Mailing Address - Phone:704-935-4100
Mailing Address - Fax:
Practice Address - Street 1:21345 CATAWBA AVE
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-8505
Practice Address - Country:US
Practice Address - Phone:704-935-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-09
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9221101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional