Provider Demographics
NPI:1255830451
Name:PARKIN, CHRISTOPHER EDWARD-LEWIS (LPC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:EDWARD-LEWIS
Last Name:PARKIN
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 1:1505 CROMARTY CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-6458
Mailing Address - Country:US
Mailing Address - Phone:703-881-8732
Mailing Address - Fax:
Practice Address - Street 1:317 OFFICE SQUARE LN STE 202B
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3663
Practice Address - Country:US
Practice Address - Phone:703-881-8732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-03
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007365101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional