Provider Demographics
NPI:1518563691
Name:TECSON, CHRISTINA KATHRYN (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:KATHRYN
Last Name:TECSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4908 SPRINT CIR
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-6126
Mailing Address - Country:US
Mailing Address - Phone:408-598-5532
Mailing Address - Fax:
Practice Address - Street 1:4908 SPRINT CIR
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-6126
Practice Address - Country:US
Practice Address - Phone:321-294-3211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-05
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW209091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical