Christina Affholder
Individual provider Active NPI Mental Health Counselor · Marana, AZ
NPI 1013786003 · NPPES record last updated Jan 1, 2024
Key facts
- NPI
- 1013786003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 12937 N High Hawk Dr
Marana, AZ 85658-4240 - Phone
- (520) 289-4269
- NPI assigned
- Jan 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
12937 N High Hawk Dr
Marana, AZ 85658-4240
Mailing address
12937 N High Hawk Dr
Marana, AZ 85658-4240
Phone (520) 289-4269
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.