Provider Demographics
NPI:1457673287
Name:CAMPBELL, CRISTINA MICHELLE (LPC)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:MICHELLE
Last Name:CAMPBELL
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 1:6344 DAVIS BLVD STE 300A
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-4762
Mailing Address - Country:US
Mailing Address - Phone:817-701-0663
Mailing Address - Fax:
Practice Address - Street 1:6344 DAVIS BLVD STE 300A
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-4762
Practice Address - Country:US
Practice Address - Phone:817-701-0663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-21
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65576101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional