Doctor Name: | MRS. CHRISTINA MELIN LARRIGAN |
NPI Number: | 1992833545 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 2004030919 |
Business Practice Address: | 1120 Wolfrum Rd Sutie 201, Room 204 Weldon Spring, MO - 633047898 |
Business Phone Number: | 6364425674 |
Business Fax Number: | 6364425601 |
Mailing Address: | 212 Brougham Dr, O FALLON |
State: | MO |
Postal Code: | 633688002 |
Phone Number: | 6362448708 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2004030919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |