Provider Demographics
NPI:1770890360
Name:NEAL, CHRISTINA CATHERINE (MA, NCC, LPC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:CATHERINE
Last Name:NEAL
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-5902
Mailing Address - Country:US
Mailing Address - Phone:704-226-1352
Mailing Address - Fax:704-282-9362
Practice Address - Street 1:604 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5902
Practice Address - Country:US
Practice Address - Phone:704-226-1352
Practice Address - Fax:704-282-9362
Is Sole Proprietor?:No
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7539101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6005755Medicaid