Provider Demographics
NPI:1306300207
Name:CORREA, CHRISTOPHER TODD (LCMHC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:TODD
Last Name:CORREA
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 HIGH TOP COLONY RD
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-8770
Mailing Address - Country:US
Mailing Address - Phone:828-333-7595
Mailing Address - Fax:828-348-1024
Practice Address - Street 1:70 WOODFIN PL STE 232
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2467
Practice Address - Country:US
Practice Address - Phone:828-333-7595
Practice Address - Fax:828-348-1024
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14550101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional