Chris Eaton, MA, LPC
Counselor, Professional in Tyler, TX. Individual provider (NPI-1).
NPI number1659950996
StatusActive
Last updated in NPPESApr 5, 2021
Details
- NPI
- 1659950996
- Entity type
- Individual (NPI-1)
- Name
- Mr. Chris Eaton
- Credential
- MA, LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2021
- Certification date
- Apr 5, 2021
- Last updated
- Apr 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 72334 | TX | Yes |
Practice location
14230 Ridgewood StTyler, TX 75709-5524
Phone 214-517-4155
Mailing address
14230 Ridgewood StTyler, TX 75709-5524
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