Provider Demographics
NPI:1184906083
Name:CHRISTENSON, BARBARA LYNN (MED, LPC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNN
Last Name:CHRISTENSON
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:LYNN
Other - Last Name:MCMANUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7605 CALLBRAM LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78736-3109
Mailing Address - Country:US
Mailing Address - Phone:512-426-4504
Mailing Address - Fax:
Practice Address - Street 1:1524 S IH 35
Practice Address - Street 2:SUITE 210
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-8931
Practice Address - Country:US
Practice Address - Phone:512-426-4504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14179101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional