Individual
JENNIFER MERIEL MCCHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2502 E UNIVERSITY DR STE 240, PHOENIX, AZ 85034-6956
(317) 210-2796
Mailing address
529 TANNINGER DR, INDIANAPOLIS, IN 46239-9457
(317) 869-5008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34006370A
IN
1041C0700X
Clinical Social Worker
Primary
LCSW-18634
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34006370A
LCSW
IN
01
—
LCSW-18634
LCSW
AZ
01
—
SWB-2022-0302
LCSW
NM
Enumeration date
03/04/2021
Last updated
04/22/2024
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