Provider Demographics
NPI:1336562305
Name:BUCHHEIT, CHRISTINA JACKSON (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:JACKSON
Last Name:BUCHHEIT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 JOHN HENRY WAY
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-5646
Mailing Address - Country:US
Mailing Address - Phone:864-706-1070
Mailing Address - Fax:
Practice Address - Street 1:556 MEMORIAL DRIVE EXT
Practice Address - Street 2:STE. A
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-1154
Practice Address - Country:US
Practice Address - Phone:864-848-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-28
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4633106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist