| Doctor Name: | MRS. CHRISTINA LEIGH PARHAM |
| NPI Number: | 1003056458 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCDP, CAC |
| License Number: | CCDP-5033 |
| Business Practice Address: | 189 Storrs Rd Natchaug Hospital, Inc. Mansfield Center, CT - 062501683 |
| Business Phone Number: | 8604561311 |
| Business Fax Number: | |
| Mailing Address: | 189 Storrs Road, Natchaug Hospital, Inc. MANSFIELD CENTER |
| State: | CT |
| Postal Code: | 06250 |
| Phone Number: | 8604561311 |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2009 |
| NPI Last Update Date: | 02/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CCDP-5033 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |