Provider Demographics
NPI:1952785479
Name:JEFFRIES, CHRISTINE (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:JEFFRIES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 TURNSTONE DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-2336
Mailing Address - Country:US
Mailing Address - Phone:817-239-8297
Mailing Address - Fax:
Practice Address - Street 1:720 TURNSTONE DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-2336
Practice Address - Country:US
Practice Address - Phone:817-239-8297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70275101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional