Individual
MELISSA CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
7545 4TH AVE, LINO LAKES, MN 55014-1068
(651) 717-6152
Mailing address
16961 GERDINE PATH W, ROSEMOUNT, MN 55068-5113
(612) 599-4979
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304622
MN
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2844
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7068
—
CA
05
—
7420
—
CA
Enumeration date
03/05/2007
Last updated
06/08/2021
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