Individual
CHARLES CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
612 E 200 S, BURLEY, ID 83318-5405
(208) 572-0109
Mailing address
612 E 200 S, BURLEY, ID 83318-5405
(208) 572-0109
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6371360
ID
Other
Enumeration date
08/26/2024
Last updated
06/28/2025
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