Provider Demographics
NPI:1609253749
Name:LEE-ZIRKLE, M CHRISTINE (MA, ATR-BC, LPC)
Entity Type:Individual
Prefix:
First Name:M CHRISTINE
Middle Name:
Last Name:LEE-ZIRKLE
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:LEE-ZIRKLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:217 KELLER RD
Mailing Address - Street 2:
Mailing Address - City:RUFFS DALE
Mailing Address - State:PA
Mailing Address - Zip Code:15679-1160
Mailing Address - Country:US
Mailing Address - Phone:724-318-2662
Mailing Address - Fax:
Practice Address - Street 1:579 FEIGHTNER RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6453
Practice Address - Country:US
Practice Address - Phone:724-318-2662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-28
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PAPC010884101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health