| Doctor Name: | CHRISTINE LERILLE MCGILL |
| NPI Number: | 1003869611 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | 610 |
| Business Practice Address: | 143 Ridgeway Dr Ste 326 Lafayette, LA - 705033414 |
| Business Phone Number: | 3373197082 |
| Business Fax Number: | |
| Mailing Address: | 143 Ridgeway Dr Ste 326, LAFAYETTE |
| State: | LA |
| Postal Code: | 705033414 |
| Phone Number: | 3373197082 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 09/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 610 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |