Provider Demographics
NPI:1881827384
Name:MAXANT, CHRISTA L (LMHC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTA
Middle Name:L
Last Name:MAXANT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432-1137
Mailing Address - Country:US
Mailing Address - Phone:978-875-0495
Mailing Address - Fax:
Practice Address - Street 1:46 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432-1313
Practice Address - Country:US
Practice Address - Phone:978-875-0495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health