Individual
DR. JEAN ANN CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D, LP, LICSW
Contact information
Practice address
403 4TH ST NW, SUITE 245, BEMIDJI, MN 56601-3142
(218) 444-6912
(218) 444-6937
Mailing address
403 4TH ST NW, SUITE 245, BEMIDJI, MN 56601-3142
(218) 444-6912
(218) 444-6937
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3903
MN
1041C0700X
Clinical Social Worker
6212
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
992757300
—
MN
Enumeration date
09/22/2006
Last updated
03/31/2009
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