Provider Demographics
NPI:1467853465
Name:GARZA, CHRISTINA D (MAC, DP-C, LLPC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:D
Last Name:GARZA
Suffix:
Gender:F
Credentials:MAC, DP-C, LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5212 N JENNINGS
Mailing Address - Street 2:
Mailing Address - City:MOUNT MORRIS
Mailing Address - State:MI
Mailing Address - Zip Code:48458
Mailing Address - Country:US
Mailing Address - Phone:810-687-5100
Mailing Address - Fax:810-687-0520
Practice Address - Street 1:8212 N JENNINGS RD
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:MI
Practice Address - Zip Code:48458-8248
Practice Address - Country:US
Practice Address - Phone:810-687-5100
Practice Address - Fax:810-687-0520
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-09
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014537101YP2500X
MI101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)