Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | LPC0000001608 | TN |
N | 101YM0800X | Mental Health Counselor | LPC0000001608 | TN |
N | 101YP1600X | Pastoral Counselor | LPC0000001608 | TN |
Y | 101YP2500X | Professional Counselor | LPC0000001608 | TN |
NPI | 1013917590 |
---|---|
Provider Name | Mr. Christopher Ray Pekary |
First Address | Collierville, TN 38017-7178 |
Second Address | Collierville, TN 38017-7178 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2005 |
Last Update Date | 01/04/2020 |