Provider Demographics
NPI:1659794899
Name:LISTER, CHRISTINE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:LISTER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 CHASE LN
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38571-7308
Mailing Address - Country:US
Mailing Address - Phone:714-906-1689
Mailing Address - Fax:714-551-6833
Practice Address - Street 1:70 CHASE LN
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38571-7308
Practice Address - Country:US
Practice Address - Phone:714-906-1689
Practice Address - Fax:714-551-6833
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-23
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50744106H00000X
TN2274106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist