Individual
MR. CHRISTOPHER JAMES MOUTENOT-SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MFT
Contact information
Practice address
421 PARK ST, SUITE 2, CHARLOTTESVILLE, VA 22902-4749
(434) 260-3530
(888) 965-4094
Mailing address
421 PARK ST, SUITE 2, CHARLOTTESVILLE, VA 22902-4749
(434) 260-3530
(888) 965-4094
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001309
VA
106H00000X
Marriage & Family Therapist
53644
CA
Other
Enumeration date
06/30/2009
Last updated
04/17/2017
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