Provider Demographics
NPI:1578837100
Name:HILBURN, CHRISTIANNE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIANNE
Middle Name:
Last Name:HILBURN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 AMELIA DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-3348
Mailing Address - Country:US
Mailing Address - Phone:501-733-9417
Mailing Address - Fax:501-687-8607
Practice Address - Street 1:1660 AMELIA DR
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-3348
Practice Address - Country:US
Practice Address - Phone:501-733-9417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-29
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2647-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical