MEDICARE: MR. STEVEN DOUGLAS CHRISTOPHERSON MS, LPC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	15845	TX

General Provider Information

NPI Number	:	1053372854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN DOUGLAS CHRISTOPHERSON MS, LPC, NCC

Provider Business Mailing Address
First Line	:	4311 TERLINGUA
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-3438
Country	:	US
Telephone Number	:	713-475-0072
Fax Number	:	713-472-8684

Provider Business Practice Location Address
First Line	:	4311 TERLINGUA
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-3438
Country	:	US
Telephone Number	:	713-475-0072
Fax Number	:	713-472-8684

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	09/05/2019

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