Provider Demographics
NPI:1356968630
Name:PERCY, CHRISTOPHER A (LPCC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:A
Last Name:PERCY
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:WANAMINGO
Mailing Address - State:MN
Mailing Address - Zip Code:55983-0252
Mailing Address - Country:US
Mailing Address - Phone:207-814-7303
Mailing Address - Fax:
Practice Address - Street 1:15489 45TH ST S
Practice Address - Street 2:
Practice Address - City:AFTON
Practice Address - State:MN
Practice Address - Zip Code:55001-9681
Practice Address - Country:US
Practice Address - Phone:651-300-1615
Practice Address - Fax:651-300-2745
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL5585101Y00000X
MNCC04828101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor