Individual
MRS. AMY M CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
454 FRANKLIN AVE, POCATELLO, ID 83201-3845
(208) 244-9002
(208) 427-9331
Mailing address
PO BOX 4326, POCATELLO, ID 83205-4326
(208) 220-4581
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
217799
AK
101YM0800X
Mental Health Counselor
Primary
5577
ID
101YM0800X
Mental Health Counselor
C836681
OR
101YM0800X
Mental Health Counselor
LH61512932
WA
Other
Enumeration date
07/30/2010
Last updated
08/02/2024
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