Provider Demographics
NPI:1770623076
Name:ANDERSON, CHRISTINE R (LPC, LMFT)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:R
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 LINDSLEY DRIVE
Mailing Address - Street 2:SUITE 100, ATTN C LAMPRON
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:973-451-0246
Mailing Address - Fax:973-451-0166
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:MMH CIS BOX #97
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-971-5402
Practice Address - Fax:973-971-5693
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00011800101YP2500X
NJ37FI00154900106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist