Individual
MS. CHERYL CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1007 W ORCHARD AVE, NAMPA, ID 83651-1878
(208) 461-2838
(208) 461-5099
Mailing address
8601 W EMERALD ST STE 150, BOISE, ID 83704-4841
(208) 321-0634
(208) 321-1082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-160
ID
Other
Enumeration date
04/04/2007
Last updated
07/09/2007
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