Provider Demographics
NPI:1184662348
Name:CROSSON, CHRISTOPHER JAMES (LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:CROSSON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 172
Mailing Address - Street 2:
Mailing Address - City:GERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28735-0172
Mailing Address - Country:US
Mailing Address - Phone:828-625-0723
Mailing Address - Fax:
Practice Address - Street 1:389 JESSE OWENBY RD
Practice Address - Street 2:
Practice Address - City:GERTON
Practice Address - State:NC
Practice Address - Zip Code:28735
Practice Address - Country:US
Practice Address - Phone:828-625-0723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5180101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103178Medicaid