Provider Demographics
NPI:1699363416
Name:FLYNN, CHRISTINE NECOLE (MS, NCC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:NECOLE
Last Name:FLYNN
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3223
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36109-0223
Mailing Address - Country:US
Mailing Address - Phone:334-279-7830
Mailing Address - Fax:
Practice Address - Street 1:112 COLISEUM BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-2708
Practice Address - Country:US
Practice Address - Phone:334-279-7830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health