Provider Demographics
NPI:1720593916
Name:BELCHER, CHRISTOPHER LEE (LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:LEE
Last Name:BELCHER
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:PO BOX 768
Mailing Address - Street 2:
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-0768
Mailing Address - Country:US
Mailing Address - Phone:276-383-0400
Mailing Address - Fax:855-877-4676
Practice Address - Street 1:205 W GRAYSON ST
Practice Address - Street 2:
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333-2811
Practice Address - Country:US
Practice Address - Phone:276-383-0400
Practice Address - Fax:855-877-4676
Is Sole Proprietor?:No
Enumeration Date:2017-12-10
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007414101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional