Provider Demographics
NPI:1679961320
Name:VONVILLE, CHRISTIE R (LPCC)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:R
Last Name:VONVILLE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5335 CASTLE PNES
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-5020
Mailing Address - Country:US
Mailing Address - Phone:614-289-8658
Mailing Address - Fax:
Practice Address - Street 1:4248 TULLER RD STE 101A
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-5025
Practice Address - Country:US
Practice Address - Phone:614-289-8658
Practice Address - Fax:614-737-9980
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1300582101YP2500X
OHE.1700386101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional