Doctor Name: | MR. CHRISTOPHER LAWRENCE TOLLAND |
NPI Number: | 1093089443 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 66072 |
Business Practice Address: | 101 Maguey Ct Ste 1 Sunland Park, NM - 880639513 |
Business Phone Number: | 5755892400 |
Business Fax Number: | |
Mailing Address: | 8217 Edgemere Blvd, EL PASO |
State: | TX |
Postal Code: | 799253840 |
Phone Number: | 9157600320 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2012 |
NPI Last Update Date: | 03/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 66072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |