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NPI Code Detail

MEDICARE: CHRISTINA STRAYER THORNTON LCMHCS, ED.D

MEDICARE: CHRISTINA STRAYER THORNTON LCMHCS, ED.D
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
1101YM0800XMental Health CounselorS10518NC

General Provider Information

NPI Number : 1720409501
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA STRAYER THORNTON LCMHCS, ED.D
Provider Business Mailing Address
First Line : 34 OLEANDER DR STE 104
Second Line :
City : CLAYTON
State : NC
Zip : 27527-4599
Country : US
Telephone Number : 919-243-1505
Fax Number : 919-585-6311
Provider Business Practice Location Address
First Line : 34 OLEANDER DR STE 104
Second Line :
City : CLAYTON
State : NC
Zip : 27527-4599
Country : US
Telephone Number : 919-243-1505
Fax Number : 919-585-6311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2013
Last Update Date : 10/17/2024

Similar Medicare Providers

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Directions to “ CHRISTINA STRAYER THORNTON LCMHCS, ED.D” Practice Location

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