Provider Demographics
NPI:1356753875
Name:ATKINSON, CHRISTINA ANNE (LMFT)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:ANNE
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1474
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95473-1474
Mailing Address - Country:US
Mailing Address - Phone:707-565-7881
Mailing Address - Fax:707-565-5183
Practice Address - Street 1:2225 CHALLENGER WAY
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95407-5441
Practice Address - Country:US
Practice Address - Phone:707-565-4970
Practice Address - Fax:707-565-5183
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104011106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist