Provider Demographics
NPI:1508470840
Name:SCHAUB, CHRISTINE (LPC-A, NCC, NCMHCE)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:SCHAUB
Suffix:
Gender:F
Credentials:LPC-A, NCC, NCMHCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 AUTUMN RUN CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7622
Mailing Address - Country:US
Mailing Address - Phone:803-608-9455
Mailing Address - Fax:
Practice Address - Street 1:214 AUTUMN RUN CIR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7622
Practice Address - Country:US
Practice Address - Phone:803-608-9455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6855101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherSELF-PAY (DOES NOT EXCEPT INSURANCE)