Provider Demographics
NPI:1891008843
Name:PRINCE, CHRISTOPHER EMANUEL (DR)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:EMANUEL
Last Name:PRINCE
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2544 ASHLEY RIVER RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414
Mailing Address - Country:US
Mailing Address - Phone:843-225-2850
Mailing Address - Fax:843-766-4200
Practice Address - Street 1:2544 ASHLEY RIVER RD
Practice Address - Street 2:UNIT B
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414
Practice Address - Country:US
Practice Address - Phone:843-225-2850
Practice Address - Fax:843-766-4200
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist