Provider Demographics
NPI:1932604733
Name:MYERS, CHRISTINE BEAVERS (LMFT, LMHP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:BEAVERS
Last Name:MYERS
Suffix:
Gender:F
Credentials:LMFT, LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-2609
Mailing Address - Country:US
Mailing Address - Phone:540-727-0770
Mailing Address - Fax:540-727-7310
Practice Address - Street 1:605 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-2609
Practice Address - Country:US
Practice Address - Phone:540-727-0770
Practice Address - Fax:540-727-7310
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717001482106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist