MEDICARE: MR. CHRISTOPHER MATTHEW STROVEN LLPC

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	6401010924	MI

General Provider Information

NPI Number	:	1407380066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER MATTHEW STROVEN LLPC

Provider Business Mailing Address
First Line	:	1611 W CENTRE AVE
Second Line	:	SUITE 200
City	:	PORTAGE
State	:	MI
Zip	:	49024-5344
Country	:	US
Telephone Number	:	269-359-7115
Fax Number	:

Provider Business Practice Location Address
First Line	:	1611 W CENTRE AVE
Second Line	:	SUITE 200
City	:	PORTAGE
State	:	MI
Zip	:	49024-5344
Country	:	US
Telephone Number	:	269-359-7115
Fax Number	:

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

Provider Enumeration Date	:	04/19/2017
Last Update Date	:	04/19/2017

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