Provider Demographics
NPI:1356949663
Name:CHRISTINA ROBIDOUX, LPC
Entity type:Organization
Organization Name:CHRISTINA ROBIDOUX, LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBIDOUX
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, CAADC
Authorized Official - Phone:570-506-0189
Mailing Address - Street 1:800 W 4TH ST STE G02
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-7201
Mailing Address - Country:US
Mailing Address - Phone:570-858-1909
Mailing Address - Fax:570-858-1957
Practice Address - Street 1:800 W 4TH ST STE G02
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-7201
Practice Address - Country:US
Practice Address - Phone:570-858-1909
Practice Address - Fax:570-858-1957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-09
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)