Provider Demographics
NPI:1457133894
Name:GILL, CHRISTOPHER STEPHEN (MA, LCMHCA)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:STEPHEN
Last Name:GILL
Suffix:
Gender:M
Credentials:MA, LCMHCA
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Mailing Address - Street 1:628 LEGACY CT APT 232
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-5121
Mailing Address - Country:US
Mailing Address - Phone:412-874-1775
Mailing Address - Fax:252-631-0658
Practice Address - Street 1:1330 E ARLINGTON BLVD STE 106
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-7850
Practice Address - Country:US
Practice Address - Phone:252-999-3477
Practice Address - Fax:252-631-0658
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2025-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC19333101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional