Provider Demographics
NPI:1720409501
Name:THORNTON, CHRISTINA STRAYER (LPCS, EDD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:STRAYER
Last Name:THORNTON
Suffix:
Gender:F
Credentials:LPCS, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 OLEANDER DR STE 104
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-4599
Mailing Address - Country:US
Mailing Address - Phone:919-243-1505
Mailing Address - Fax:919-585-6311
Practice Address - Street 1:34 OLEANDER DR STE 104
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-4599
Practice Address - Country:US
Practice Address - Phone:919-243-1505
Practice Address - Fax:919-585-6311
Is Sole Proprietor?:No
Enumeration Date:2013-12-23
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10518101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional