Provider Demographics
NPI:1679335129
Name:THRIFT, CHRISTOPHER KARL (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:KARL
Last Name:THRIFT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9369 JAMES DR
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39325-9686
Mailing Address - Country:US
Mailing Address - Phone:601-527-6508
Mailing Address - Fax:
Practice Address - Street 1:9369 JAMES DR
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:MS
Practice Address - Zip Code:39325-9686
Practice Address - Country:US
Practice Address - Phone:601-527-6508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2280101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty