Provider Demographics
NPI:1790261212
Name:BROWN, CRISTINA MARIA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:MARIA
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6041 COLLINSTONE DR
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-7104
Mailing Address - Country:US
Mailing Address - Phone:804-370-5023
Mailing Address - Fax:
Practice Address - Street 1:3900 W BROAD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3914
Practice Address - Country:US
Practice Address - Phone:804-353-4461
Practice Address - Fax:804-353-3061
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007793101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional