Provider Demographics
NPI:1336436641
Name:MATTHEWS, CHRISTINA (LCPC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 NAPER VL WHEATON RD STE 105
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1559
Mailing Address - Country:US
Mailing Address - Phone:815-342-1224
Mailing Address - Fax:630-400-8106
Practice Address - Street 1:1555 NAPERVILLE WHEATON RD STE 105
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1559
Practice Address - Country:US
Practice Address - Phone:630-509-4567
Practice Address - Fax:630-400-8106
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178008577101YP2500X
IL180010471101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional