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Individual

CHRISTINE GER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1633 E 4TH ST, SANTA ANA, CA 92701-5163
(714) 565-2830
Mailing address
1633 E 4TH ST, SANTA ANA, CA 92701-5163

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
22922
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30BH
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
05/14/2014
Last updated
09/29/2016
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