Provider Demographics
NPI:1952715880
Name:DAVID, CHRISTOPHER NOEL (ACMHC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:NOEL
Last Name:DAVID
Suffix:
Gender:M
Credentials:ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 N BLUFF ST
Mailing Address - Street 2:STE. #5
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-4566
Mailing Address - Country:US
Mailing Address - Phone:435-229-5240
Mailing Address - Fax:
Practice Address - Street 1:225 N BLUFF ST
Practice Address - Street 2:STE. #5
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-4566
Practice Address - Country:US
Practice Address - Phone:435-229-5240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT309356-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health