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Provider Information for 1598261810


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CHRISTINE LYNN PARISEN lmhc


Sex: Female

NPI: 1598261810
Last Updated: 2018-04-04
Certification Date:

Details

NameValue
NPI1598261810
Enumeration Date2018-04-04
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 54723
JACKSONVILLE, FL 32245-4723
United States

Phone: 904-239-3677 | Fax:
 
Primary Practice Address 6950 PHILIPS HWY STE 11
JACKSONVILLE, FL 32216-6082
United States

Phone: 904-239-3677 | Fax:904-866-4029
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH14146