Provider Demographics
NPI:1417728650
Name:TRIPODI CULSHAN, CRISTINA LIDIA (LCPC)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:LIDIA
Last Name:TRIPODI CULSHAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7015 VARNUM ST
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2109
Mailing Address - Country:US
Mailing Address - Phone:202-638-9861
Mailing Address - Fax:
Practice Address - Street 1:7015 VARNUM ST
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-2109
Practice Address - Country:US
Practice Address - Phone:202-638-9861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC14609101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health