| Doctor Name: | MR. CHRISTOPHER SHAWN SKINNER |
| NPI Number: | 1063638302 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LPC |
| License Number: | 2001022080 |
| Business Practice Address: | Hc 69 Box 1455 Ironton, MO - 636509606 |
| Business Phone Number: | 5735462758 |
| Business Fax Number: | 5735460125 |
| Mailing Address: | Hc 69 Box 1455, IRONTON |
| State: | MO |
| Postal Code: | 636509606 |
| Phone Number: | 5735462758 |
| Fax Number: | 5735460125 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2001022080 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |