MEDICARE: MRS. CHRISTIN LYNETTE MORGAN M.A.

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1316155690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTIN LYNETTE MORGAN M.A.

Provider Business Mailing Address
First Line	:	13580 PLUMBAGO DR
Second Line	:
City	:	CENTREVILLE
State	:	VA
Zip	:	20120-2702
Country	:	US
Telephone Number	:	703-988-9129
Fax Number	:

Provider Business Practice Location Address
First Line	:	8110 VIRGINIA PINE CT
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23237-2203
Country	:	US
Telephone Number	:	804-743-0727
Fax Number	:

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

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	07/08/2007

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