Provider Demographics
NPI:1568942258
Name:HARRINGTON, CHRISTINE ANNE (LMFT, LIC #88813)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANNE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LMFT, LIC #88813
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1332 UPPINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-6540
Mailing Address - Country:US
Mailing Address - Phone:805-630-3599
Mailing Address - Fax:
Practice Address - Street 1:25 ROLLING OAKS DR STE 208
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1009
Practice Address - Country:US
Practice Address - Phone:805-630-3599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88813106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist