Provider Demographics
NPI:1639316987
Name:CALHOUN, CHRISTINE LYN (LPC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:LYN
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 113
Mailing Address - Street 2:
Mailing Address - City:CALLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:24530-0113
Mailing Address - Country:US
Mailing Address - Phone:434-688-1197
Mailing Address - Fax:
Practice Address - Street 1:753 MAIN ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-1817
Practice Address - Country:US
Practice Address - Phone:434-688-1197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003427101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional