Provider Demographics
NPI:1881821361
Name:HOEHN-SHACKELFORD, CHRISTINA THERESE (MS ED LPCC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:THERESE
Last Name:HOEHN-SHACKELFORD
Suffix:
Gender:F
Credentials:MS ED LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 MUNROE FALLS AVE
Mailing Address - Street 2:
Mailing Address - City:MUNROE FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44262-1538
Mailing Address - Country:US
Mailing Address - Phone:330-801-7148
Mailing Address - Fax:
Practice Address - Street 1:36 MUNROE FALLS AVE
Practice Address - Street 2:
Practice Address - City:MUNROE FALLS
Practice Address - State:OH
Practice Address - Zip Code:44262-1538
Practice Address - Country:US
Practice Address - Phone:330-801-7148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-11
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0800493101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health