Provider Demographics
NPI:1205038593
Name:LANDRY, CHRISTINA JAMES (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:JAMES
Last Name:LANDRY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:981 HERITAGE RD
Mailing Address - Street 2:
Mailing Address - City:LINN CREEK
Mailing Address - State:MO
Mailing Address - Zip Code:65052-2122
Mailing Address - Country:US
Mailing Address - Phone:735-780-0084
Mailing Address - Fax:
Practice Address - Street 1:981 HERITAGE RD
Practice Address - Street 2:
Practice Address - City:LINN CREEK
Practice Address - State:MO
Practice Address - Zip Code:65052-2122
Practice Address - Country:US
Practice Address - Phone:573-578-0084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021030365101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO498734805Medicaid