Individual
CHAD R CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
671 E RIVERPARK LN STE 220, BOISE, ID 83706
(208) 344-2071
(208) 344-2075
Mailing address
671 E RIVERPARK LN STE 220, BOISE, ID 83706-6559
(208) 344-2071
(208) 344-2075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5201
ID
Other
Enumeration date
02/14/2018
Last updated
07/03/2018
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