Individual
MR. CARL WILLIAM CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Contact information
Practice address
277 ALEXANDER ST., SUITE 306, ROCHESTER, NY 14607
(585) 262-4303
(585) 262-4363
Mailing address
277 ALEXANDER ST., SUITE 306, ROCHESTER, NY 14607
(585) 262-4303
(585) 262-4363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO36366-1
NY
106H00000X
Marriage & Family Therapist
PENDING
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010036366
BLUE CHOICE - EXCELLUS
NY
05
—
01410746
—
NY
01
—
103235FK
PREFERRED CARE
NY
Enumeration date
03/17/2006
Last updated
01/17/2017
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