Provider Demographics
NPI:1003898990
Name:NOWLAND, CHRISTI M (MSSW LICSW)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:M
Last Name:NOWLAND
Suffix:
Gender:F
Credentials:MSSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 MAIN ST STE 510
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-0710
Mailing Address - Country:US
Mailing Address - Phone:608-461-1785
Mailing Address - Fax:608-796-1114
Practice Address - Street 1:319 MAIN ST STE 510
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-0710
Practice Address - Country:US
Practice Address - Phone:608-461-1785
Practice Address - Fax:608-796-1114
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN65591041C0700X
WI7597-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN140015OtherU CARE
MN21D62NOOtherBCBS
MN732690400Medicaid