Individual
DR. CHRISTINE ANN SECRIST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
600 1ST AVE, PERRY, IA 50220-1803
(515) 465-5739
(515) 465-5744
Mailing address
4713 PANORAMA DR, PANORA, IA 50216-8632
(515) 229-9587
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
00066
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18699
MIDLANDS CHOICE
IA
Enumeration date
02/10/2006
Last updated
07/08/2007
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