Healthcare Provider Details

I. General information

NPI: 1063931954
Provider Name (Legal Business Name): CHRISTOPHER YORK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2017
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

372 WEST ST STE 102
KEENE NH
03431-2412
US

IV. Provider business mailing address

65 RICHMOND RD
WINCHESTER NH
03470-2428
US

V. Phone/Fax

Practice location:
  • Phone: 800-534-2639
  • Fax: 800-480-7578
Mailing address:
  • Phone: 802-689-0034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: