Provider Demographics
NPI:1386876340
Name:MAWHINNEY, CHRISTOPHER (LPC, CRC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:MAWHINNEY
Suffix:
Gender:M
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 N COLLEGE AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-4794
Mailing Address - Country:US
Mailing Address - Phone:573-214-2253
Mailing Address - Fax:573-474-5683
Practice Address - Street 1:1007 N COLLEGE AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-4794
Practice Address - Country:US
Practice Address - Phone:573-214-2253
Practice Address - Fax:573-474-5683
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008023360101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional