Provider Demographics
NPI:1801348909
Name:SEBRING, CHRISTINA LORI (LSW)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LORI
Last Name:SEBRING
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MRS
Other - First Name:CHRISTINA
Other - Middle Name:LORI
Other - Last Name:SEBRING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LSW
Mailing Address - Street 1:8440 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-6702
Mailing Address - Country:US
Mailing Address - Phone:330-286-0050
Mailing Address - Fax:330-286-0050
Practice Address - Street 1:8440 MARKET ST
Practice Address - Street 2:8440 MARKET ST.
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-6702
Practice Address - Country:US
Practice Address - Phone:330-286-0050
Practice Address - Fax:330-286-0050
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS29246101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health