Provider Demographics
NPI:1619025319
Name:MILLEN, CHRISTINE (LCPC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:MILLEN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 FRANKLIN SQUARE DR
Mailing Address - Street 2:200
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3903
Mailing Address - Country:US
Mailing Address - Phone:443-777-2200
Mailing Address - Fax:
Practice Address - Street 1:9100 FRANKLIN SQUARE DR
Practice Address - Street 2:200
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3903
Practice Address - Country:US
Practice Address - Phone:443-777-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1943101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health