Provider Demographics
NPI:1861017014
Name:SUTTON, CHRISTINE (MAMHC, LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:SUTTON
Suffix:
Gender:F
Credentials:MAMHC, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 S US HIGHWAY 31
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-9561
Mailing Address - Country:US
Mailing Address - Phone:615-828-0508
Mailing Address - Fax:
Practice Address - Street 1:2615 EASTWOOD DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-3356
Practice Address - Country:US
Practice Address - Phone:615-828-0508
Practice Address - Fax:877-561-1395
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-13
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IN39003611A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty