MEDICARE: CHRISTINA B JAMES LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C9542	MS

General Provider Information

NPI Number	:	1104461417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA B JAMES LCSW

Provider Business Mailing Address
First Line	:	303 HIGHWAY 90
Second Line	:
City	:	BAY SAINT LOUIS
State	:	MS
Zip	:	39520-2832
Country	:	US
Telephone Number	:	228-238-0992
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 HIGHWAY 90
Second Line	:
City	:	BAY SAINT LOUIS
State	:	MS
Zip	:	39520-2832
Country	:	US
Telephone Number	:	228-238-0992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2019
Last Update Date	:	10/29/2024

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