Provider Demographics
NPI:1245636059
Name:MCWILLIAMS, CHRISTINE (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:MCWILLIAMS
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 1:312 CHESTNUT ST STE 113
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3206
Mailing Address - Country:US
Mailing Address - Phone:814-795-4034
Mailing Address - Fax:814-724-7495
Practice Address - Street 1:312 CHESTNUT ST STE 113
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3206
Practice Address - Country:US
Practice Address - Phone:814-795-4034
Practice Address - Fax:814-724-7495
Is Sole Proprietor?:No
Enumeration Date:2014-11-06
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA007048101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC007048OtherSTATE LICENSE LPC
PA1215475694OtherNPI2 SERENITY POINT COUNSELING