Provider Demographics
NPI:1366177586
Name:CHRISTMAN, TAMARA LYNN (LPC, MA)
Entity type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:LYNN
Last Name:CHRISTMAN
Suffix:
Gender:F
Credentials:LPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 PINE ST SE STE 150
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4877
Mailing Address - Country:US
Mailing Address - Phone:703-255-7012
Mailing Address - Fax:703-255-6171
Practice Address - Street 1:410 PINE ST SE STE 150
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4877
Practice Address - Country:US
Practice Address - Phone:703-255-7012
Practice Address - Fax:703-255-6171
Is Sole Proprietor?:No
Enumeration Date:2022-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011638.101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health