Provider Demographics
NPI:1841950730
Name:MAIER, CHRISTOPHER JON (EDD, LPC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JON
Last Name:MAIER
Suffix:
Gender:M
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KATHY CHERVEN LOSS & GRIEF COUNSELING
Mailing Address - Street 2:103 E JEFFERSON STREET
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:KATHY CHERVEN LOSS & GRIEF COUNSELING
Practice Address - Street 2:103 E JEFFERSON STREET
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450
Practice Address - Country:US
Practice Address - Phone:815-343-9617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178017521101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor