Provider Demographics
NPI:1427415108
Name:MAURER, CHRISTA JULIANNE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:JULIANNE
Last Name:MAURER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 LOUIS PRIMA DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-5903
Mailing Address - Country:US
Mailing Address - Phone:985-201-4678
Mailing Address - Fax:
Practice Address - Street 1:1901 HIGHWAY 190
Practice Address - Street 2:APT 2120
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-3470
Practice Address - Country:US
Practice Address - Phone:985-285-3170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-26
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6346101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional