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Individual

CHRISTOPER MCDONALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCASA

Contact information

Practice address
12225 SOUTH CALEDONIA RD, LAURINBURG, NC 28352
(910) 361-4398
Mailing address
295 ELLIS RD, LUMBER BRIDGE, NC 28357-8940
(910) 322-2174

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-23404
NC
167G00000X
Licensed Psychiatric Technician
2023-177
CA

Other

Enumeration date
07/20/2020
Last updated
09/26/2025
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