Provider Demographics
NPI:1881723849
Name:PRICE, CHRISTINE (MFT)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-4207
Mailing Address - Country:US
Mailing Address - Phone:707-468-5531
Mailing Address - Fax:
Practice Address - Street 1:216 WEST PERKINS ST
Practice Address - Street 2:STE 205
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-4859
Practice Address - Country:US
Practice Address - Phone:707-462-8520
Practice Address - Fax:707-468-4349
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC21766106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist