Provider Demographics
NPI:1831428580
Name:MACHIN, M CRISTINA
Entity type:Individual
Prefix:
First Name:M CRISTINA
Middle Name:
Last Name:MACHIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:
Other - Last Name:MACHIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS ED
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:DE
Mailing Address - Zip Code:19940-0070
Mailing Address - Country:US
Mailing Address - Phone:443-880-8778
Mailing Address - Fax:
Practice Address - Street 1:30599 SUSSEX HWY STE 3
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:DE
Practice Address - Zip Code:19956-4417
Practice Address - Country:US
Practice Address - Phone:302-497-4491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-09
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1727101YP2500X
DEPC-488101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional