Individual
MARY CHRISTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1221 W IRONWOOD DRIVE, STE 102, COEUR D ALENE, ID 83814-2785
(208) 664-2486
(208) 906-0818
Mailing address
212 W IRONWOOD DR, SUITE D PMB 545, COEUR D ALENE, ID 83814
(208) 664-2486
(208) 906-0818
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW 1513
ID
1041C0700X
Clinical Social Worker
Primary
36902
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
623468HNFS
PAYER ID
ID
Enumeration date
05/22/2014
Last updated
02/25/2026
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