Provider Demographics
NPI:1912237660
Name:COLLINS, CHRISTINA E (LCMHC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:E
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5004 HUNT CLUB RD APT 1
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-0623
Mailing Address - Country:US
Mailing Address - Phone:704-617-0397
Mailing Address - Fax:
Practice Address - Street 1:5004 HUNT CLUB RD APT 1
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-0623
Practice Address - Country:US
Practice Address - Phone:704-617-0397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-31
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor