Provider Demographics
NPI:1023382447
Name:ALPHENAAR, CHRISTOPHER T (LPC, LLP CAADC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:T
Last Name:ALPHENAAR
Suffix:
Gender:M
Credentials:LPC, LLP CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3036 THRESA DR
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49127-9307
Mailing Address - Country:US
Mailing Address - Phone:269-240-4137
Mailing Address - Fax:269-588-3047
Practice Address - Street 1:5710 SAINT JOSEPH AVE
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MI
Practice Address - Zip Code:49127-1240
Practice Address - Country:US
Practice Address - Phone:269-240-4137
Practice Address - Fax:269-588-3047
Is Sole Proprietor?:No
Enumeration Date:2012-03-02
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401018326101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional