Provider Demographics
NPI:1639415490
Name:CUMMINS, CHRISTOPHER (LMFT, LCADC, ACS)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:CUMMINS
Suffix:
Gender:M
Credentials:LMFT, LCADC, ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24552 PACIFIC PARK DR
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-3055
Mailing Address - Country:US
Mailing Address - Phone:949-446-0090
Mailing Address - Fax:949-315-3031
Practice Address - Street 1:24552 PACIFIC PARK DR
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-3055
Practice Address - Country:US
Practice Address - Phone:494-460-0909
Practice Address - Fax:949-315-3031
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-26
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
CA137661106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)