MEDICARE: DR. CHRISTOPHER SHAUN HENNINGTON LPC-S

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	62059	TX

General Provider Information

NPI Number	:	1902088313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER SHAUN HENNINGTON LPC-S

Provider Business Mailing Address
First Line	:	9901 UTICA AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-6377
Country	:	US
Telephone Number	:	806-773-1487
Fax Number	:

Provider Business Practice Location Address
First Line	:	4021 112TH ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79423-6749
Country	:	US
Telephone Number	:	806-773-1487
Fax Number	:

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

Provider Enumeration Date	:	11/28/2007
Last Update Date	:	07/24/2025

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Directions to “ DR. CHRISTOPHER SHAUN HENNINGTON LPC-S” Practice Location

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