MEDICARE: MR. CHRISTOPHER PAUL RAS 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
1	101YP2500X	Professional Counselor	1289	MS

General Provider Information

NPI Number	:	1366646309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER PAUL RAS LPC

Provider Business Mailing Address
First Line	:	PO BOX 8888
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39535-8888
Country	:	US
Telephone Number	:	888-464-1811
Fax Number	:

Provider Business Practice Location Address
First Line	:	1907 PASS RD STE G
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39531-4101
Country	:	US
Telephone Number	:	228-222-2995
Fax Number	:

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

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	05/06/2020

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