Provider Demographics
NPI:1689621575
Name:GALUMBECK, CHRISTINE JENSEN (LCPC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:JENSEN
Last Name:GALUMBECK
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 EASTERN BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-3416
Mailing Address - Country:US
Mailing Address - Phone:410-238-7729
Mailing Address - Fax:410-238-7792
Practice Address - Street 1:901 EASTERN BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-3416
Practice Address - Country:US
Practice Address - Phone:410-238-7729
Practice Address - Fax:410-238-7792
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0854101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional