Healthcare Provider Details

I. General information

NPI: 1639090756
Provider Name (Legal Business Name): CHRISTOPHER M FERRELL LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 HILTON RD STE 1
FERNDALE MI
48220-2505
US

IV. Provider business mailing address

2406 DAYTON DR
ANN ARBOR MI
48108-1232
US

V. Phone/Fax

Practice location:
  • Phone: 248-907-0247
  • Fax:
Mailing address:
  • Phone: 248-842-4969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6421226299
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: