Individual
CHRISTINE J CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
764 HYDE MERRITT RD, CHEYENNE, WY 82009-9003
(307) 772-8756
(307) 634-0424
Mailing address
764 HYDE MERRITT RD, CHEYENNE, WY 82009-9003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
190
WY
Other
Enumeration date
12/01/2005
Last updated
07/08/2007
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