Provider Demographics
NPI:1932656121
Name:JOHANNES, CHRISTOPHER K (LPC, LMHC, BCPP, CHC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:K
Last Name:JOHANNES
Suffix:
Gender:M
Credentials:LPC, LMHC, BCPP, CHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EBISUCHO 113 501 SHIMOGYOKU
Mailing Address - Street 2:
Mailing Address - City:KYOTO
Mailing Address - State:KYOTO
Mailing Address - Zip Code:600 8302
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:EBISUCHO 113 501 SHIMOGYOKU
Practice Address - Street 2:
Practice Address - City:KYOTO
Practice Address - State:KYOTO
Practice Address - Zip Code:600 8302
Practice Address - Country:JP
Practice Address - Phone:0805-719-1967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 00009692101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health