Provider Demographics
NPI:1447892229
Name:TSENG, CHRISTINA (LGMFT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:TSENG
Suffix:
Gender:F
Credentials:LGMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17709 CRICKET HILL DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-3491
Mailing Address - Country:US
Mailing Address - Phone:240-565-4241
Mailing Address - Fax:
Practice Address - Street 1:129 E PATRICK ST STE 25
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6172
Practice Address - Country:US
Practice Address - Phone:301-473-2197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-12
Last Update Date:2019-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGM747106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist