Provider Demographics
NPI:1134354947
Name:PLATANIA, CHRISTINA MIKESELL (LPC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MIKESELL
Last Name:PLATANIA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:CHRIS
Other - Middle Name:MIKESELL
Other - Last Name:PLATANIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1007 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-4841
Mailing Address - Country:US
Mailing Address - Phone:434-872-0047
Mailing Address - Fax:434-872-0049
Practice Address - Street 1:1007 E HIGH ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-4841
Practice Address - Country:US
Practice Address - Phone:434-872-0047
Practice Address - Fax:434-872-0049
Is Sole Proprietor?:No
Enumeration Date:2009-05-22
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004559101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0701004559OtherBOARD OF COUNSELING