Provider Demographics
NPI:1447911086
Name:KLAVE, CHRISTINA (LAMFT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:KLAVE
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 COMANCHE DR
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38053-1014
Mailing Address - Country:US
Mailing Address - Phone:619-519-2401
Mailing Address - Fax:
Practice Address - Street 1:62 COMANCHE DR
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38053-1014
Practice Address - Country:US
Practice Address - Phone:619-519-2401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2025-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-2024-0284106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist