Provider Demographics
NPI:1750514709
Name:HENRY, CHRISTINE JONES (MA, ATR, LMFT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:JONES
Last Name:HENRY
Suffix:
Gender:F
Credentials:MA, ATR, LMFT
Other - Prefix:MISS
Other - First Name:CHRISTINE
Other - Middle Name:MELISSA
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, ATR
Mailing Address - Street 1:815 N EL CENTRO AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90038-3805
Mailing Address - Country:US
Mailing Address - Phone:323-775-8678
Mailing Address - Fax:323-463-7033
Practice Address - Street 1:815 N EL CENTRO AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90038-3805
Practice Address - Country:US
Practice Address - Phone:323-775-8678
Practice Address - Fax:323-463-7033
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT85347106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist