Provider Demographics
NPI:1831349042
Name:RUPP, CHRIS (LCSW, CASAC)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:
Last Name:RUPP
Suffix:
Gender:M
Credentials:LCSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 MARKET RD
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:PA
Mailing Address - Zip Code:18425-9746
Mailing Address - Country:US
Mailing Address - Phone:570-685-2923
Mailing Address - Fax:
Practice Address - Street 1:VERITAS, INC. 375 RT 55
Practice Address - Street 2:
Practice Address - City:BARRYVILLE
Practice Address - State:NY
Practice Address - Zip Code:12719
Practice Address - Country:US
Practice Address - Phone:845-557-3535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073680-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical