Provider Demographics
NPI:1871709071
Name:YARMUTH, CHRISTINE RENEE (DMIN, LMFT, LMHC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:RENEE
Last Name:YARMUTH
Suffix:
Gender:F
Credentials:DMIN, LMFT, LMHC
Other - Prefix:DR
Other - First Name:C.
Other - Middle Name:RENEE
Other - Last Name:RUST-YARMUTH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT,,LMHC, LSW
Mailing Address - Street 1:10320 OVEROAKS CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-4090
Mailing Address - Country:US
Mailing Address - Phone:502-231-0503
Mailing Address - Fax:
Practice Address - Street 1:10320 OVEROAKS CT
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-4090
Practice Address - Country:US
Practice Address - Phone:502-231-0503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001089A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist