Cothern, Christopher Shan

Cothern, Christopher Shan is an sole proprietor health care provider with primary practice located at 1108 Ponderosa Dr , Terry MS 39170-9416. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Cothern, Christopher Shan can be contacted via phone (601) 373-9156.

Contact Information

Primary practice address
1108 Ponderosa Dr Terry MS 39170-9416
Phone: (601) 373-9156
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 570 Mississippi
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0137 Mississippi

Profile Details

NPI number 1376704189
LBN Legal business name Cothern, Christopher Shan
Credentials MS, LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2008
Last updated Jun 24th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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