Basic Information
| Provider Information | |||||||||
| NPI: | 1467073650 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AFLAGUE | ||||||||
| FirstName: | CHRISTINA MARIA | ||||||||
| MiddleName: | NAPUTI | ||||||||
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| Credential: | LPC, LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3639 MARTIN LUTHER KING JR WAY S | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981446847 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2068058982 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 841 CENTRAL AVE N STE C100 | ||||||||
| Address2: | |||||||||
| City: | KENT | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980322016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2058058982 | ||||||||
| FaxNumber: | 2066957606 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/29/2020 | ||||||||
| LastUpdateDate: | 06/13/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | LH61055873 | WA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YA0400X | CP61072364 | WA | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YP2500X | LPC-157 | GU | N | Behavioral Health & Social Service Providers | Counselor | Professional | 101YP2500X | 82854 | TX | N | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.