Individual
CHRISTOPHER WALLACE DEGN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
95-955 WIKAO STREET, MILILANI, HI 96789
(808) 625-3586
Mailing address
95-955 WIKAO STREET, MILILANI, HI 96789
(808) 625-3586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5183
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5183
NORTH CAROLINA LPC
NC
Enumeration date
05/09/2007
Last updated
07/08/2007
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