Provider Demographics
NPI:1518344415
Name:YOUNG, CHRISTIANNE (LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTIANNE
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7137 COLLEYVILLE BLVD
Mailing Address - Street 2:101
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-6240
Mailing Address - Country:US
Mailing Address - Phone:210-722-0666
Mailing Address - Fax:
Practice Address - Street 1:7137 COLLEYVILLE BLVD
Practice Address - Street 2:101
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-6240
Practice Address - Country:US
Practice Address - Phone:817-993-1170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-29
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71343101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional