Individual
CHRISTINE HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
64 MARTIN FARM RD, JASPER, GA 30143-5710
(706) 383-3826
Mailing address
64 MARTIN FARM RD, JASPER, GA 30143-5710
(253) 283-1213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904020424
VA
1041C0700X
Clinical Social Worker
Primary
CSW009056
GA
1041C0700X
Clinical Social Worker
SC60838766
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC60838766
LSWAIC
WA
Enumeration date
06/17/2014
Last updated
05/10/2026
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