Individual
CHRISTOPHER JOHN THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
415 S HYDE PARK AVE, TAMPA, FL 33606-2268
(813) 254-3200
Mailing address
205 COMO ST, TAMPA, FL 33606-3707
(813) 254-3200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH 10591
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH 10591
FL
101YM0800X
Mental Health Counselor
MH 10591
FL
101YP2500X
Professional Counselor
Primary
MH 10591
FL
Other
Enumeration date
03/30/2011
Last updated
03/31/2020
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