Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHRISTOPHER SHAN COTHERN, MS, LPC, LMFT
Active Sole ProprietorMental Health Counselor · TERRY, MS
Registration Details
- NPI Number
- 1376704189
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2008 (17.835124818956 yrs)
- Last Updated
- Jun 24, 2008
- Licenses
-
570 (MS)T0137 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1108 PONDEROSA DRTERRY, MS, 391709416Browse MS providers · Browse ZIP 39170
- Phone
- 6013739156
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Marriage & Family Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.