Provider Demographics
NPI:1740384213
Name:POPE, CHRISTOPHER JASON (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JASON
Last Name:POPE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2419 FURLONG TRL
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-7301
Mailing Address - Country:US
Mailing Address - Phone:334-332-5740
Mailing Address - Fax:
Practice Address - Street 1:2419 FURLONG TRL
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-7301
Practice Address - Country:US
Practice Address - Phone:334-332-5740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1229101YP2500X
NC12575101YP2500X
AL3093101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC19MJUOtherBCBS
NC601122-380OtherMAGELLAN
NC1740384213OtherHUMANA
NC1740384213Medicaid