Provider Demographics
NPI:1831921956
Name:PAUL, CHRISTIANA WOODWARD (MA, LMFT)
Entity type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:WOODWARD
Last Name:PAUL
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 1:2618 KATHERINE ST
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-2036
Mailing Address - Country:US
Mailing Address - Phone:619-846-5892
Mailing Address - Fax:
Practice Address - Street 1:2618 KATHERINE ST
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-2036
Practice Address - Country:US
Practice Address - Phone:619-846-5892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39572106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist