Individual
CHRISTOPHER BLAINE MEADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3608 PRESTON RD, STE 140, PLANO, TX 75093-8649
(214) 674-8806
Mailing address
PO BOX 864047, PLANO, TX 75086-4047
(214) 674-8806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063927001
—
TX
Enumeration date
04/14/2006
Last updated
03/06/2018
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