Provider Demographics
NPI:1659930642
Name:CHRISTOPHER, GINA (LMHP)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3043 ARIZONA RD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-3643
Mailing Address - Country:US
Mailing Address - Phone:402-598-9522
Mailing Address - Fax:
Practice Address - Street 1:3043 ARIZONA RD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-3643
Practice Address - Country:US
Practice Address - Phone:402-413-6288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-12
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11785101YM0800X
NE5617101YM0800X
HI838101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1659930642OtherMENTAL HEALTH