Provider Demographics
NPI:1700920063
Name:CHRISTNER, STEPHEN (LMHC)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:CHRISTNER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 CAMBY CT
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-4085
Mailing Address - Country:US
Mailing Address - Phone:317-522-5748
Mailing Address - Fax:317-522-5748
Practice Address - Street 1:401 CAMBY CT
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-4085
Practice Address - Country:US
Practice Address - Phone:317-522-5748
Practice Address - Fax:317-522-5748
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001840A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health