Provider Demographics
NPI:1679395685
Name:CRIMMINS, CHRISTINE (LGPC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:CRIMMINS
Suffix:
Gender:X
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 SAINT CHARLES WAY UNIT E, BOX 372
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4646
Mailing Address - Country:US
Mailing Address - Phone:443-367-1333
Mailing Address - Fax:
Practice Address - Street 1:815 RITCHIE HWY STE 205
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-4164
Practice Address - Country:US
Practice Address - Phone:443-367-1333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-30
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0022742101YP2500X
DCLGPC200001897101YP2500X
MDLGP15781101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional