Provider Demographics
NPI:1851925580
Name:WASHINGTON, CHRISTINA (LMHC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:WASHINGTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5832 ARMOUR LOOP SE # 1
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98513-5061
Mailing Address - Country:US
Mailing Address - Phone:360-280-2312
Mailing Address - Fax:
Practice Address - Street 1:203 4TH AVE E STE 307
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1188
Practice Address - Country:US
Practice Address - Phone:360-259-7971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61033676101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health