Provider Demographics
NPI:1033436522
Name:TRAPP, CHRISTINE HAAGERQ (LMSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:HAAGERQ
Last Name:TRAPP
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21305
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87154-1305
Mailing Address - Country:US
Mailing Address - Phone:816-401-0727
Mailing Address - Fax:
Practice Address - Street 1:10733 TOWNE PARK DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87123-4854
Practice Address - Country:US
Practice Address - Phone:816-401-0727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM-071851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical