Provider Demographics
NPI:1174136238
Name:MYERS, CHRISTINE E (LPC, LCDC, MAC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:E
Last Name:MYERS
Suffix:
Gender:F
Credentials:LPC, LCDC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7915 AVELLANO
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-5151
Mailing Address - Country:US
Mailing Address - Phone:210-393-3506
Mailing Address - Fax:
Practice Address - Street 1:7915 AVELLANO
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-5151
Practice Address - Country:US
Practice Address - Phone:210-393-3506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12919101YA0400X
TX75166101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)