Provider Demographics
NPI:1710226311
Name:SMART, CHRISTENE LYNN (LMHC)
Entity type:Individual
Prefix:
First Name:CHRISTENE
Middle Name:LYNN
Last Name:SMART
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 81
Mailing Address - Street 2:
Mailing Address - City:KINDERHOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12106-0081
Mailing Address - Country:US
Mailing Address - Phone:518-931-0045
Mailing Address - Fax:
Practice Address - Street 1:31 B ALBANY AVE
Practice Address - Street 2:
Practice Address - City:NASSAU
Practice Address - State:NY
Practice Address - Zip Code:12123
Practice Address - Country:US
Practice Address - Phone:518-931-0045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005392101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health