Provider Demographics
NPI:1902199243
Name:GILLS, CHRISTI D (LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:D
Last Name:GILLS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 E LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MO
Mailing Address - Zip Code:63084-1832
Mailing Address - Country:US
Mailing Address - Phone:636-583-2040
Mailing Address - Fax:636-583-2300
Practice Address - Street 1:202 E LOCUST ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084-1832
Practice Address - Country:US
Practice Address - Phone:636-583-2040
Practice Address - Fax:636-583-2300
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004024703101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor