Provider Demographics
NPI:1417772732
Name:WASHINGTON, CHRISTOPHER (LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:M
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 RED RIVER TRL APT 1040
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-6509
Mailing Address - Country:US
Mailing Address - Phone:718-791-0976
Mailing Address - Fax:
Practice Address - Street 1:12801 N CENTRAL EXPY STE 1727
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1716
Practice Address - Country:US
Practice Address - Phone:972-464-8668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health