Christopher Karl Thrift, LPC

Individual provider Active NPI Mental Health Counselor · Collinsville, MS

NPI 1679335129 · NPPES record last updated Jan 29, 2024

Key facts

NPI
1679335129
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
2280 (MS)
Practice address
9369 James Dr
Collinsville, MS 39325-9686
Phone
(601) 527-6508
NPI assigned
Jan 29, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2280MSMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X 2280 MS Yes

Addresses

Primary practice location

9369 James Dr
Collinsville, MS 39325-9686

Mailing address

9369 James Dr
Collinsville, MS 39325-9686
Phone (601) 527-6508

Other providers in Collinsville, MS

All providers in Collinsville, MS · Mental Health Counselor in Mississippi

Sources for this page

Verify at the official NPI Registry.