Provider Demographics
NPI:1528415577
Name:LAZDOWSKI, CHRISTINE (MS, LMFT, MDIV, LPP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:LAZDOWSKI
Suffix:
Gender:F
Credentials:MS, LMFT, MDIV, LPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-2032
Mailing Address - Country:US
Mailing Address - Phone:603-212-9378
Mailing Address - Fax:855-515-0830
Practice Address - Street 1:55 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-2031
Practice Address - Country:US
Practice Address - Phone:603-212-9378
Practice Address - Fax:855-515-0830
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-19
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH70101YP1600X
NH199106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral