Individual provider · Type 1 NPI

Christine P. McKillop

Addiction (Substance Use Disorder) Counselor · Lucerne, CA

NPI number 1407555428 Active

Practice location

6302 Thirteenth Avenue
Lucerne, CA 95458

Call (707) 274-9101 Map

Fax (707) 274-9192

Mailing address

7393 Anchor Dr
Clearlake, CA 95422-9085

Other practice locations

  • 7000B S Center Dr, Clearlake, CA 95422-8131 · (707) 994-7090
  • 7393 Anchor Dr, Clearlake, CA 95422-9085 · (707) 274-9101

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1407555428

Christine P. McKillop's National Provider Identifier is 1407555428, issued on Feb 28, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lucerne, CA. The record was last updated on Feb 28, 2023.