Provider Demographics
NPI:1629403019
Name:NONNIE, CHRISTOPHER (LPC , CADC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:NONNIE
Suffix:
Gender:M
Credentials:LPC , CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1749 S NAPERVILLE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-5892
Mailing Address - Country:US
Mailing Address - Phone:630-260-8780
Mailing Address - Fax:630-938-4697
Practice Address - Street 1:1749 S NAPERVILLE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-5892
Practice Address - Country:US
Practice Address - Phone:630-260-8780
Practice Address - Fax:630-938-4697
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.006358101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional