Provider Demographics
NPI:1295866788
Name:GARRETT, CHRIS A (LICENSED SOCIAL WORK)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:A
Last Name:GARRETT
Suffix:
Gender:F
Credentials:LICENSED SOCIAL WORK
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 7
Mailing Address - Street 2:
Mailing Address - City:ROSCOE
Mailing Address - State:PA
Mailing Address - Zip Code:15477-0007
Mailing Address - Country:US
Mailing Address - Phone:724-379-1420
Mailing Address - Fax:724-379-8777
Practice Address - Street 1:EASTGATE 8
Practice Address - Street 2:
Practice Address - City:MONESSEN
Practice Address - State:PA
Practice Address - Zip Code:15062
Practice Address - Country:US
Practice Address - Phone:724-684-9000
Practice Address - Fax:724-684-9196
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW001630E101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health