Provider Demographics
NPI:1619028438
Name:ECKES, CHRISTINA MARIE (CADC II, LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:ECKES
Suffix:
Gender:F
Credentials:CADC II, LPC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:WILKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:S4758 STATE HIGHWAY 80
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:WI
Mailing Address - Zip Code:54634-8220
Mailing Address - Country:US
Mailing Address - Phone:608-643-3147
Mailing Address - Fax:608-643-3178
Practice Address - Street 1:222 N WALNUT ST
Practice Address - Street 2:SUITE-B
Practice Address - City:REEDSBURG
Practice Address - State:WI
Practice Address - Zip Code:53959-1665
Practice Address - Country:US
Practice Address - Phone:608-524-5151
Practice Address - Fax:608-524-5353
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI560-126101Y00000X
WI15179101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)