Provider Demographics
NPI:1104446046
Name:SIGGINS, CHRISTOPHER (RMFTI)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:SIGGINS
Suffix:
Gender:M
Credentials:RMFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5638
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:224 DATURA ST STE 1015
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-5638
Practice Address - Country:US
Practice Address - Phone:561-600-8764
Practice Address - Fax:561-898-2237
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-21
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT3315101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health