Provider Demographics
NPI:1134310030
Name:REIHM, CHRISTINA SUSANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:SUSANNE
Last Name:REIHM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 3RD ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-0714
Mailing Address - Country:US
Mailing Address - Phone:707-268-2800
Mailing Address - Fax:
Practice Address - Street 1:1711 3RD ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-0714
Practice Address - Country:US
Practice Address - Phone:707-268-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW694471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical