Individual
CHRISTOPHER ANDREW GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2201 IRONWOOD PL, SUITE 100, COEUR D ALENE, ID 83814-2670
(208) 769-4222
Mailing address
PO BOX 3648, COEUR D ALENE, ID 83816-2522
(208) 676-0102
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-31474
ID
1041C0700X
Clinical Social Worker
Primary
LCSW - 34818
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306132493
—
ID
Enumeration date
06/27/2011
Last updated
06/17/2015
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