Healthcare Provider Details

I. General information

NPI: 1902282163
Provider Name (Legal Business Name): CHRISTINA MELISSA LOMBARDO LPCC, LPC, CADC1
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRIS MELISSA LOMBARDO LPCC, LPC, CADC1

II. Dates (important events)

Enumeration Date: 08/10/2015
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 GOLF COURSE RD SE STE A
RIO RANCHO NM
87124-1764
US

IV. Provider business mailing address

4008 LAS CIMBRAS CT SE
RIO RANCHO NM
87124-1166
US

V. Phone/Fax

Practice location:
  • Phone: 541-919-4404
  • Fax: 541-248-1147
Mailing address:
  • Phone: 505-504-8511
  • Fax: 541-248-1147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: