Provider Demographics
NPI:1780733162
Name:HAXTON, CHRISTINA D (MA, LMFT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:D
Last Name:HAXTON
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 775307
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80477-5307
Mailing Address - Country:US
Mailing Address - Phone:970-871-4567
Mailing Address - Fax:720-306-3228
Practice Address - Street 1:57 10TH STREET
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80477
Practice Address - Country:US
Practice Address - Phone:970-871-4567
Practice Address - Fax:720-306-3228
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO360106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist