Provider Demographics
NPI:1619001732
Name:TOWNSEND, CHRISTOPHER BERNARD (LPC, LCAS, CCS, NCC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:BERNARD
Last Name:TOWNSEND
Suffix:
Gender:M
Credentials:LPC, LCAS, CCS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 THREE OAKS DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-2877
Mailing Address - Country:US
Mailing Address - Phone:336-688-6757
Mailing Address - Fax:
Practice Address - Street 1:913 BLUFORD ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27411-3408
Practice Address - Country:US
Practice Address - Phone:336-285-4940
Practice Address - Fax:336-256-2880
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3723101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102102Medicaid