Provider Demographics
NPI:1174703342
Name:ARBASETTI, CHRISTINA LEANNE (MA, LPC, CADC III)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LEANNE
Last Name:ARBASETTI
Suffix:
Gender:F
Credentials:MA, LPC, CADC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1684 SW BRIXTON CT
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97080-9744
Mailing Address - Country:US
Mailing Address - Phone:541-285-7744
Mailing Address - Fax:
Practice Address - Street 1:616 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4339
Practice Address - Country:US
Practice Address - Phone:541-687-1110
Practice Address - Fax:541-683-9061
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3512101Y00000X, 324500000X
322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children