Individual
RYAN CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
321 N MALL DR STE VW103, ST GEORGE, UT 84790-7337
(435) 359-2687
Mailing address
321 N MALL DR STE VW103, ST GEORGE, UT 84790-7337
(435) 359-2687
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5708158-3501
UT
Other
Enumeration date
11/04/2013
Last updated
08/06/2021
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