Provider Demographics
NPI:1487982393
Name:CARPENTER, CHRIS SCOTT (MCP LPCCANDIDATE)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:SCOTT
Last Name:CARPENTER
Suffix:
Gender:M
Credentials:MCP LPCCANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 S VAN BUREN ST
Mailing Address - Street 2:111
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-8559
Mailing Address - Country:US
Mailing Address - Phone:580-977-6263
Mailing Address - Fax:
Practice Address - Street 1:4121 S VAN BUREN ST
Practice Address - Street 2:111
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-8559
Practice Address - Country:US
Practice Address - Phone:580-977-6263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-04
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health