Provider Demographics
NPI:1912020843
Name:ALTHEN, CHRISTINA (LMHC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:ALTHEN
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 1:35 POST OFFICE PARK STE 3504
Mailing Address - Street 2:
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095-1186
Mailing Address - Country:US
Mailing Address - Phone:413-949-0452
Mailing Address - Fax:413-596-6755
Practice Address - Street 1:35 POST OFFICE PARK STE 3504
Practice Address - Street 2:
Practice Address - City:WILBRAHAM
Practice Address - State:MA
Practice Address - Zip Code:01095-1186
Practice Address - Country:US
Practice Address - Phone:413-949-0452
Practice Address - Fax:413-596-6755
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6606101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1300881Medicaid
MA0300010OtherMBHP