Provider Demographics
NPI:1770782559
Name:SMITH, CHRISTINE (LMHC, NCC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:SMITH
Other - Last Name:MULFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, NCC
Mailing Address - Street 1:125 HIGH ROCK AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866
Mailing Address - Country:US
Mailing Address - Phone:518-852-7575
Mailing Address - Fax:
Practice Address - Street 1:125 HIGH ROCK AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866
Practice Address - Country:US
Practice Address - Phone:518-852-7575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health