Individual
KIMBERLY CHRISTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 W ELFINDALE ST STE B, SPRINGFIELD, MO 65807-1295
(417) 874-1942
(707) 447-3205
Mailing address
1286 CALLEN ST, VACAVILLE, CA 95688-3002
(707) 447-8982
(707) 447-3205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
2021015220
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083038905
—
MO
Enumeration date
02/12/2014
Last updated
02/10/2023
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