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Individual

CHRISTOPHER SHUPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MHPP

Contact information

Practice address
4425 JEFFERSON AVE, TEXARKANA, AR 71854
(870) 774-0920
(870) 774-0926
Mailing address
4425 JEFFERSON AVE, TEXARKANA, AR 71854
(870) 774-0920
(870) 774-0926

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/19/2009
Last updated
05/19/2009
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