Provider Demographics
NPI:1114063799
Name:PAWSON, C CHRISTOPHER (LPCC)
Entity Type:Individual
Prefix:
First Name:C CHRISTOPHER
Middle Name:
Last Name:PAWSON
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5210 CHERRINGTON RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623
Mailing Address - Country:US
Mailing Address - Phone:419-318-4627
Mailing Address - Fax:419-754-4117
Practice Address - Street 1:5210 CHERRINGTON RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623
Practice Address - Country:US
Practice Address - Phone:419-318-4627
Practice Address - Fax:419-754-4117
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE4291101YP2500X
MI6401005557101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional