Provider Demographics
NPI:1609595974
Name:ADKINS, CHRISTINA R
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:R
Last Name:ADKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 DINGESS ST
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:WV
Mailing Address - Zip Code:25601-3603
Mailing Address - Country:US
Mailing Address - Phone:304-688-9269
Mailing Address - Fax:681-495-1522
Practice Address - Street 1:101 DINGESS ST
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:WV
Practice Address - Zip Code:25601-3603
Practice Address - Country:US
Practice Address - Phone:304-688-9269
Practice Address - Fax:681-495-1522
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health