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NPI Code Detail

MEDICARE: C CHRISTOPHER PAWSON LPCC

MEDICARE:   C CHRISTOPHER  PAWSON  LPCC
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 CounselorE4291OH
2101YP2500XProfessional Counselor6401005557MI

General Provider Information

NPI Number : 1114063799
Entity Type Code : Individual
Provider Name (Legal Business Name) : C CHRISTOPHER PAWSON LPCC
Provider Business Mailing Address
First Line : 5210 CHERRINGTON RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623
Country : US
Telephone Number : 419-318-4627
Fax Number : 419-754-4117
Provider Business Practice Location Address
First Line : 5210 CHERRINGTON RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623
Country : US
Telephone Number : 419-318-4627
Fax Number : 419-754-4117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 04/17/2013

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Directions to “ C CHRISTOPHER PAWSON LPCC” Practice Location

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