Provider Demographics
NPI:1902282163
Name:LOMBARDO, CHRISTINA MELISSA (MA, LPC-INTERN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MELISSA
Last Name:LOMBARDO
Suffix:
Gender:F
Credentials:MA, LPC-INTERN
Other - Prefix:MS
Other - First Name:CHRIS
Other - Middle Name:MELISSA
Other - Last Name:LOMBARDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC-INTERN
Mailing Address - Street 1:PO BOX 1234
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-8234
Mailing Address - Country:US
Mailing Address - Phone:503-397-5211
Mailing Address - Fax:503-397-5373
Practice Address - Street 1:58646 MCNULTY WAY
Practice Address - Street 2:
Practice Address - City:SAINT HELENS
Practice Address - State:OR
Practice Address - Zip Code:97051
Practice Address - Country:US
Practice Address - Phone:503-397-5211
Practice Address - Fax:503-397-5373
Is Sole Proprietor?:No
Enumeration Date:2015-08-10
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)