| Doctor Name: | CHRISTA JALLORINA |
| NPI Number: | 1073973665 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-C |
| License Number: | 12343 |
| Business Practice Address: | 4821 Saint Barnabas Rd Temple Hills, MD - 207484659 |
| Business Phone Number: | 4108934600 |
| Business Fax Number: | 4436404358 |
| Mailing Address: | 1208 E Churchville Rd, Suite 300 BEL AIR |
| State: | MD |
| Postal Code: | 210143442 |
| Phone Number: | 4108934600 |
| Fax Number: | 4436404358 |
| NPI Enumeration Date: | 02/25/2016 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 12343 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |