Individual
CHRISTOPHER SHAWN CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSC, LPCC-S
Contact information
Practice address
147 JAMES WAY, MARION, OH 43302-5892
(419) 617-8356
(740) 914-6138
Mailing address
147 JAMES WAY, MARION, OH 43302-5892
(419) 617-8356
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1300110
OH
101YP2500X
Professional Counselor
PC005957
PA
Other
Enumeration date
03/25/2013
Last updated
01/04/2023
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