Doctor Name: | MR. CRISTOPHER LAWSON ALLEN |
NPI Number: | 1154425163 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA LPC MHSP |
License Number: | 1933 |
Business Practice Address: | 426 E G St Elizabeth, TN - 37643 |
Business Phone Number: | 4235475950 |
Business Fax Number: | 4235475953 |
Mailing Address: | Po Box 9054, GRAY |
State: | TN |
Postal Code: | 376159054 |
Phone Number: | 4234673600 |
Fax Number: | 4234673696 |
NPI Enumeration Date: | 09/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1933 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |