Provider Demographics
NPI:1053695874
Name:CANAPINNO, CHRISTINE (MS)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:CANAPINNO
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 1:2503 HUFFINE MILL RD
Mailing Address - Street 2:
Mailing Address - City:MC LEANSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27301-9706
Mailing Address - Country:US
Mailing Address - Phone:336-346-4341
Mailing Address - Fax:
Practice Address - Street 1:2503 HUFFINE MILL RD
Practice Address - Street 2:
Practice Address - City:MC LEANSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27301-9706
Practice Address - Country:US
Practice Address - Phone:203-693-1550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17070101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional