Provider Demographics
NPI:1245022482
Name:MCDANIEL, CHRISTIAN FREE (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:FREE
Last Name:MCDANIEL
Suffix:
Gender:X
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:391 COUNTY ROAD 258
Mailing Address - Street 2:
Mailing Address - City:NEW BROCKTON
Mailing Address - State:AL
Mailing Address - Zip Code:36351-7933
Mailing Address - Country:US
Mailing Address - Phone:334-447-5745
Mailing Address - Fax:
Practice Address - Street 1:391 COUNTY ROAD 258
Practice Address - Street 2:
Practice Address - City:NEW BROCKTON
Practice Address - State:AL
Practice Address - Zip Code:36351-7933
Practice Address - Country:US
Practice Address - Phone:334-447-5745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2397101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional