Provider Demographics
NPI:1376094680
Name:CALL CHRISTENSEN, CHRISTINA ANN (LPC-MHSP (TEMPORARY))
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ANN
Last Name:CALL CHRISTENSEN
Suffix:
Gender:F
Credentials:LPC-MHSP (TEMPORARY)
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:
Other - Last Name:CALL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC-MHSP (TEMPORARY)
Mailing Address - Street 1:1 OZARK PL
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-5905
Mailing Address - Country:US
Mailing Address - Phone:423-763-7253
Mailing Address - Fax:
Practice Address - Street 1:3097 BROAD ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37408-3093
Practice Address - Country:US
Practice Address - Phone:423-763-7253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3618101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional