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NPI Code Detail

MEDICARE: MR. CHRISTOPHER DEAN EAST LPC

MEDICARE: MR. CHRISTOPHER DEAN EAST LPC
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
1101YP2500XProfessional Counselor0701003250VA

General Provider Information

NPI Number : 1629720024
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER DEAN EAST LPC
Provider Business Mailing Address
First Line : 707 5TH ST NE
Second Line :
City : ROANOKE
State : VA
Zip : 24016-2123
Country : US
Telephone Number : 540-580-5810
Fax Number :
Provider Business Practice Location Address
First Line : 707 5TH ST NE
Second Line :
City : ROANOKE
State : VA
Zip : 24016-2123
Country : US
Telephone Number : 540-580-5810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2022
Last Update Date : 01/26/2022

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