Provider Demographics
NPI:1497136881
Name:WIRSING, CHRISTINE LEE (LCPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:LEE
Last Name:WIRSING
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Gender:F
Credentials:LCPC, NCC
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Mailing Address - Street 1:10630 LITTLE PATUXENT PKWY
Mailing Address - Street 2:SUITE 209 A
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3264
Mailing Address - Country:US
Mailing Address - Phone:410-710-8067
Mailing Address - Fax:410-740-8068
Practice Address - Street 1:10630 LITTLE PATUXENT PKWY
Practice Address - Street 2:SUITE 209 A
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3264
Practice Address - Country:US
Practice Address - Phone:410-710-8067
Practice Address - Fax:410-740-8068
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2016-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDLC6975101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional