Doctor Name: | MRS. CHRISTI LEANN ANDERSON |
NPI Number: | 1881928828 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 0110041 |
Business Practice Address: | 431 W Smokey Bear Blvd Capitan, NM - 88316 |
Business Phone Number: | 5753541085 |
Business Fax Number: | 5753542263 |
Mailing Address: | 425 W Griggs Ave, LAS CRUCES |
State: | NM |
Postal Code: | 880052605 |
Phone Number: | 5753541085 |
Fax Number: | 5753542263 |
NPI Enumeration Date: | 09/23/2009 |
NPI Last Update Date: | 09/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0110041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |