Individual
CHRISTOPHER D HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
830 TYRONE PIKE, VERSAILLES, KY 40383-1323
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
280915
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15745411
CAQH
KY
05
—
7100865630
—
KY
Enumeration date
09/05/2017
Last updated
09/30/2024
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