Provider Demographics
NPI:1023579950
Name:CHRISTIAN, JOANN STRIDER (AADC, CCFC)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:STRIDER
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:AADC, CCFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:CHARLES TOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25414-1313
Mailing Address - Country:US
Mailing Address - Phone:304-995-2367
Mailing Address - Fax:
Practice Address - Street 1:225 AUGUSTINE AVE
Practice Address - Street 2:
Practice Address - City:CHARLES TOWN
Practice Address - State:WV
Practice Address - Zip Code:25414-4431
Practice Address - Country:US
Practice Address - Phone:681-252-3419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV18-313101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)