Provider Demographics
NPI:1649593344
Name:ANDERSON, CHRISTINA M (MSW, LCSW, LCAC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MSW, LCSW, LCAC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:M
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 AIRPORT RD STE 900
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-2046
Mailing Address - Country:US
Mailing Address - Phone:317-868-7133
Mailing Address - Fax:
Practice Address - Street 1:20 AIRPORT RD STE 900
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-2046
Practice Address - Country:US
Practice Address - Phone:317-868-7133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005924A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical