Individual
MR. CHRISTOPHER RANDALL CARKHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3110 BELLEMEADE DR, AUGUSTA, GA 30906-3101
(706) 814-0005
Mailing address
3110 BELLEMEADE DR, AUGUSTA, GA 30906-3101
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
232361
GA
101Y00000X
Counselor
736484
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
204785
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
C0055
GA
101YP2500X
Professional Counselor
Primary
LPC006574
GA
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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