Provider Demographics
NPI:1568909232
Name:JACHENS, CHRISTINA FAYE (LPCA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:FAYE
Last Name:JACHENS
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 COLTONS WAY
Mailing Address - Street 2:
Mailing Address - City:PENROSE
Mailing Address - State:NC
Mailing Address - Zip Code:28766-8841
Mailing Address - Country:US
Mailing Address - Phone:985-273-1750
Mailing Address - Fax:
Practice Address - Street 1:39 EAST JORDAN STREET
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712
Practice Address - Country:US
Practice Address - Phone:828-885-7885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12567101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional