Provider Demographics
NPI:1386974129
Name:CEASER, CHRISTOPHER (MS)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:CEASER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7730 MORRO RD STE 205
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-4414
Mailing Address - Country:US
Mailing Address - Phone:805-423-4956
Mailing Address - Fax:
Practice Address - Street 1:7730 MORRO RD STE 205
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-4414
Practice Address - Country:US
Practice Address - Phone:805-423-4956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC46816106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFC 46816OtherBOARD OF BEHAVIORAL SCIENCE