Provider Demographics
NPI:1285734764
Name:CHRISTOPHER, JOHN CHAMBERS (PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHAMBERS
Last Name:CHRISTOPHER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 WICKWIRE WAY
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-9670
Mailing Address - Country:US
Mailing Address - Phone:406-548-8571
Mailing Address - Fax:406-225-7723
Practice Address - Street 1:144 WICKWIRE WAY
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-9670
Practice Address - Country:US
Practice Address - Phone:406-548-8571
Practice Address - Fax:406-225-7723
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT619101YP2500X
MT313103T00000X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist