Provider Demographics
NPI:1578702452
Name:CLEMENT, CHRISTINE ROBIN (LCMHC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ROBIN
Last Name:CLEMENT
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 HENDERSONVILLE RD # 12
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2396
Mailing Address - Country:US
Mailing Address - Phone:828-998-1555
Mailing Address - Fax:
Practice Address - Street 1:13 1/2 EAGLE ST STE K
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3795
Practice Address - Country:US
Practice Address - Phone:828-998-1555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19813101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional