Provider Demographics
NPI:1659254738
Name:MCCREARY, CHRISTINA (MS)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:MCCREARY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8850 FERGUSON RD APT 2042
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-8343
Mailing Address - Country:US
Mailing Address - Phone:716-812-4573
Mailing Address - Fax:
Practice Address - Street 1:8850 FERGUSON RD APT 2042
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-8343
Practice Address - Country:US
Practice Address - Phone:716-812-4573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99476101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health