Provider Demographics
NPI:1306224381
Name:FLANIGAN, CHRISTOPHER (LMFT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:FLANIGAN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 2ND ST
Mailing Address - Street 2:APT 4C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-2487
Mailing Address - Country:US
Mailing Address - Phone:718-878-6093
Mailing Address - Fax:
Practice Address - Street 1:372 2ND ST
Practice Address - Street 2:APT 4C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-2487
Practice Address - Country:US
Practice Address - Phone:718-878-6093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000940106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist