Provider Demographics
NPI:1861296600
Name:CHRISTOPHER, EMILY JEAN (MT-BC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JEAN
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3503 ARDALE PL APT A
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1323
Mailing Address - Country:US
Mailing Address - Phone:336-513-3721
Mailing Address - Fax:
Practice Address - Street 1:7900 TRIAD CENTER DR STE 300
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409-9076
Practice Address - Country:US
Practice Address - Phone:336-513-3721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health