Individual
CHRISTOPHER MISSIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCC, LPC-I
Contact information
Practice address
7135 COLLEYVILLE BLVD STE 101, COLLEYVILLE, TX 76034-6455
(817) 416-7169
(817) 416-7175
Mailing address
7135 COLLEYVILLE BLVD STE 101, COLLEYVILLE, TX 76034-6455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
76782
TX
Other
Enumeration date
09/11/2018
Last updated
01/16/2020
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