Provider Demographics
NPI:1972861565
Name:NIXON, CHRISTINE A (LMHC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:A
Last Name:NIXON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:A
Other - Last Name:NEFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:120 WASHINGTON ST
Mailing Address - Street 2:SUITE 510
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-3330
Mailing Address - Country:US
Mailing Address - Phone:315-782-4483
Mailing Address - Fax:315-785-9210
Practice Address - Street 1:120 WASHINGTON ST
Practice Address - Street 2:SUITE 510
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-3330
Practice Address - Country:US
Practice Address - Phone:315-782-4483
Practice Address - Fax:315-785-9210
Is Sole Proprietor?:No
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004654101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health