Organization
GAYLE E CHRISTENSEN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAYLE E CHRISTENSEN LCSW (OWNER)
(719) 471-1816
Entity
Organization
Contact information
Practice address
1751 S 8TH ST, COLORADO SPRINGS, CO 80905-1926
(719) 471-1816
Mailing address
1751 S 8TH ST, COLORADO SPRINGS, CO 80905-1926
(719) 471-1816
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
906047
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016478
—
CO
Enumeration date
08/23/2016
Last updated
08/23/2016
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