Individual
MRS. CHRISTINA CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1055 CROWN CT, DIAMOND, IL 60416-3005
(815) 735-9108
Mailing address
1055 CROWN CT, DIAMOND, IL 60416-3005
(815) 735-9108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24201
IL
101YP2500X
Professional Counselor
Primary
180008820
IL
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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