Individual
MR. CHRISTOPHER SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
3412 TAFT AVE, SAINT LOUIS, MO 63111-1461
(314) 409-7440
Mailing address
107 WOODS END, COLLINSVILLE, IL 62234-1541
(314) 435-3229
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
07/21/2014
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