Individual
STEPHANIE CHRISTIANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LAC
Contact information
Practice address
1110 E MISSOURI AVE STE 400, PHOENIX, AZ 85014-2704
(602) 730-6554
Mailing address
3432 E LINDA LN, GILBERT, AZ 85234-4210
(602) 730-6554
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-08362T
AZ
Other
Enumeration date
01/21/2025
Last updated
12/10/2025
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