Provider Demographics
NPI:1396092748
Name:GRAHAM-SMITH, CHRISTINA LYNN (LMFT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LYNN
Last Name:GRAHAM-SMITH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 502186
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92150-2186
Mailing Address - Country:US
Mailing Address - Phone:619-304-3850
Mailing Address - Fax:
Practice Address - Street 1:9666 BUSINESSPARK AVE STE 202
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-1646
Practice Address - Country:US
Practice Address - Phone:619-304-3850
Practice Address - Fax:619-215-5476
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health