Provider Demographics
NPI:1033371778
Name:CHRISTOPHER, SUZANNE M (LCSW)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:M
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 BARKLEY DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-6903
Mailing Address - Country:US
Mailing Address - Phone:804-266-7631
Mailing Address - Fax:804-264-6127
Practice Address - Street 1:10187 BROOK RD
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-6508
Practice Address - Country:US
Practice Address - Phone:804-266-7631
Practice Address - Fax:804-264-6127
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040064431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical