Provider Demographics
NPI:1174026637
Name:WEST, CHRISTOPHER LYNN (MA, LCMHC, NCC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:LYNN
Last Name:WEST
Suffix:
Gender:M
Credentials:MA, LCMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3296 BRICKWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28107-7824
Mailing Address - Country:US
Mailing Address - Phone:704-999-9495
Mailing Address - Fax:
Practice Address - Street 1:4614 WILGROVE MINT HILL RD
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-3500
Practice Address - Country:US
Practice Address - Phone:704-999-9495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-12
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13828101YM0800X, 101YP2500X
NCA13828101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health