Individual
JEFFREY JAY CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1900 S MAIN ST, SUITE 112, WAKE FOREST, NC 27587-5026
(919) 757-3440
(919) 562-5696
Mailing address
1529 MAIN DIVIDE DR, WAKE FOREST, NC 27587-6194
(919) 757-3440
(919) 562-5696
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1138
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105161
—
NC
Enumeration date
01/31/2007
Last updated
06/12/2014
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