Provider Demographics
NPI:1396813234
Name:MABREY, CHRISTOPHER L (MS, CM)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:L
Last Name:MABREY
Suffix:
Gender:M
Credentials:MS, CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5410 NIGHTHAWK DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-3712
Mailing Address - Country:US
Mailing Address - Phone:317-253-8908
Mailing Address - Fax:317-466-1710
Practice Address - Street 1:TRANSITIONAL ASSISTANCE SVC., 6100 N. KEYSTONE AVENUE
Practice Address - Street 2:SUITE 237
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-2426
Practice Address - Country:US
Practice Address - Phone:317-466-1749
Practice Address - Fax:317-466-1710
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health