Provider Demographics
NPI:1295914950
Name:MCCASLAND, CHRISTI RENAE (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTI
Middle Name:RENAE
Last Name:MCCASLAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 SW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:TX
Mailing Address - Zip Code:79360-5335
Mailing Address - Country:US
Mailing Address - Phone:903-715-0821
Mailing Address - Fax:
Practice Address - Street 1:906 SW 7TH ST
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:TX
Practice Address - Zip Code:79360-5335
Practice Address - Country:US
Practice Address - Phone:903-715-0821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62596101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional