Provider Demographics
NPI:1831660539
Name:GARCIA, CHRISTINA A (CSW, TCADC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:A
Last Name:GARCIA
Suffix:
Gender:F
Credentials:CSW, TCADC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:ANN
Other - Last Name:CROOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1840 CUMBERLAND FALLS HWY
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-2729
Mailing Address - Country:US
Mailing Address - Phone:606-526-4429
Mailing Address - Fax:606-526-8255
Practice Address - Street 1:1840 CUMBERLAND FALLS HWY
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-2729
Practice Address - Country:US
Practice Address - Phone:606-526-4429
Practice Address - Fax:606-526-8255
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY256648104100000X
KY244970101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)