Provider Demographics
NPI:1053372854
Name:CHRISTOPHERSON, STEVEN DOUGLAS (MS, LPC, NCC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:DOUGLAS
Last Name:CHRISTOPHERSON
Suffix:
Gender:M
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4311 TERLINGUA
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-3438
Mailing Address - Country:US
Mailing Address - Phone:713-475-0072
Mailing Address - Fax:713-472-8684
Practice Address - Street 1:4311 TERLINGUA
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3438
Practice Address - Country:US
Practice Address - Phone:713-475-0072
Practice Address - Fax:713-472-8684
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15845101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional