Doctor Name: | CHRISTOPHER JAMES CROSSON |
NPI Number: | 1184662348 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 5180 |
Business Practice Address: | 389 Jesse Owenby Rd Gerton, NC - 28735 |
Business Phone Number: | 8286250723 |
Business Fax Number: | |
Mailing Address: | Po Box 172, GERTON |
State: | NC |
Postal Code: | 287350172 |
Phone Number: | 8286250723 |
Fax Number: | |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 11/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 5180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |