Provider Demographics
NPI:1518065853
Name:RAYMOND, CHRISTINE A (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:A
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 FAITH AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-1806
Mailing Address - Country:US
Mailing Address - Phone:508-832-3238
Mailing Address - Fax:508-832-3499
Practice Address - Street 1:22 FAITH AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-1806
Practice Address - Country:US
Practice Address - Phone:508-832-3238
Practice Address - Fax:508-832-3499
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5510101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health