Individual
CHRISTOPHER EDWARD NORDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
415 N HIGGINS AVE STE 106, MISSOULA, MT 59802-4561
(406) 214-0000
Mailing address
415 N HIGGINS AVE STE 106, MISSOULA, MT 59802-4561
(406) 214-0000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
695
MT
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336261700
—
MT
Enumeration date
04/04/2007
Last updated
06/22/2020
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