Provider Demographics
NPI:1952628992
Name:MUNDY, CHRIS M (LCPC)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:M
Last Name:MUNDY
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 N 27TH ST
Mailing Address - Street 2:SUITE 18C
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-2357
Mailing Address - Country:US
Mailing Address - Phone:406-839-0210
Mailing Address - Fax:
Practice Address - Street 1:27 N 27TH ST
Practice Address - Street 2:SUITE 18C
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-2357
Practice Address - Country:US
Practice Address - Phone:406-839-0210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1392101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor