Provider Demographics
NPI:1174226211
Name:SHAWNA CHRISTENSEN PROFESSIONAL CLINICAL COUNSELOR INC
Entity type:Organization
Organization Name:SHAWNA CHRISTENSEN PROFESSIONAL CLINICAL COUNSELOR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL CLINICAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC 20728
Authorized Official - Phone:916-382-0712
Mailing Address - Street 1:10824 OLSON DR STE C
Mailing Address - Street 2:188
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-5651
Mailing Address - Country:US
Mailing Address - Phone:916-382-0712
Mailing Address - Fax:
Practice Address - Street 1:10824 OLSON DR STE C188
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-5651
Practice Address - Country:US
Practice Address - Phone:916-382-0712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty