Provider Demographics
NPI:1972343267
Name:SCOTT, CHRISTOPHER COREY (LPC-A)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:COREY
Last Name:SCOTT
Suffix:
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:TOPHER
Other - Middle Name:
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC-A
Mailing Address - Street 1:120 9TH ST APT 1119
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-1703
Mailing Address - Country:US
Mailing Address - Phone:718-564-9618
Mailing Address - Fax:
Practice Address - Street 1:120 9TH ST APT 1119
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-1703
Practice Address - Country:US
Practice Address - Phone:718-564-9618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-25
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98938101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional