Provider Demographics
NPI:1710036199
Name:DUEWEL, CHRISTINE HOPE (MA LPC NCC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:HOPE
Last Name:DUEWEL
Suffix:
Gender:F
Credentials:MA LPC 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 955
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25443-0955
Mailing Address - Country:US
Mailing Address - Phone:304-582-4555
Mailing Address - Fax:304-876-2442
Practice Address - Street 1:218 S DUKE STREET
Practice Address - Street 2:
Practice Address - City:SHEPHERDSTOWN
Practice Address - State:WV
Practice Address - Zip Code:25443-0955
Practice Address - Country:US
Practice Address - Phone:304-582-4555
Practice Address - Fax:304-876-2442
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1128101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional