Provider Demographics
NPI:1467960930
Name:BROWN, CHRISTINA LYNN LOWRY (LPC, ATR, CSOTP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LYNN LOWRY
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC, ATR, CSOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 CEDAR RD STE 2A
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-5527
Mailing Address - Country:US
Mailing Address - Phone:757-302-8362
Mailing Address - Fax:
Practice Address - Street 1:501 CEDAR RD STE 2A
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-5527
Practice Address - Country:US
Practice Address - Phone:757-302-8362
Practice Address - Fax:757-574-0102
Is Sole Proprietor?:No
Enumeration Date:2018-01-17
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007459101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA17-319OtherREGISTERED ART THERAPIST
VA0812000793OtherCERTIFIED SEX OFFENDER TREATMENT PROVIDER
VA0701007459OtherLICENSED PROFESSIONAL COUNSELOR
VA1467960930Medicaid