Provider Demographics
NPI:1588899702
Name:CHRISTIANSON, CHRISTOPHER PAUL (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:PAUL
Last Name:CHRISTIANSON
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14526 OLD KATY RD STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1047
Mailing Address - Country:US
Mailing Address - Phone:832-744-8953
Mailing Address - Fax:636-552-6692
Practice Address - Street 1:14526 OLD KATY RD STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1047
Practice Address - Country:US
Practice Address - Phone:832-744-8953
Practice Address - Fax:636-552-6692
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63222101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health