Provider Demographics
NPI:1356968630
Name:PERCY, CHRISTOPHER A (LCPC-C)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:A
Last Name:PERCY
Suffix:
Gender:M
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 CAPTAN CUSHMAN RD
Mailing Address - Street 2:
Mailing Address - City:MORRILL
Mailing Address - State:ME
Mailing Address - Zip Code:04952
Mailing Address - Country:US
Mailing Address - Phone:207-342-3655
Mailing Address - Fax:207-342-3731
Practice Address - Street 1:67 CAPTAN CUSHMAN RD
Practice Address - Street 2:
Practice Address - City:MORRILL
Practice Address - State:ME
Practice Address - Zip Code:04952
Practice Address - Country:US
Practice Address - Phone:207-342-3655
Practice Address - Fax:207-342-3731
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL5585101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor