Individual
JAY A CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3150 GERSHWIN DRIVE, GREEN BAY, WI 54311-5859
(920) 391-4700
(920) 391-4870
Mailing address
3150 GERSHWIN DRIVE, GREEN BAY, WI 54311-5859
(920) 391-4700
(920) 391-4870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
578
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39696800
—
WI
Enumeration date
02/21/2007
Last updated
11/10/2009
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