Provider Demographics
NPI:1801038153
Name:STEPHENS, CHRISTOPHER IVAN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:IVAN
Last Name:STEPHENS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:604 BUTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-9488
Mailing Address - Country:US
Mailing Address - Phone:919-619-6418
Mailing Address - Fax:919-619-6418
Practice Address - Street 1:1829 E FRANKLIN ST
Practice Address - Street 2:SUITE 900B
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5861
Practice Address - Country:US
Practice Address - Phone:919-619-6418
Practice Address - Fax:919-619-6418
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0065371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical