Provider Demographics
NPI:1376782193
Name:WAHRER, CHRISTY E (LISW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:E
Last Name:WAHRER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:MS
Other - First Name:CHRISTY
Other - Middle Name:E
Other - Last Name:WAHRER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:7755 CENTER AVE
Mailing Address - Street 2:#700
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-3007
Mailing Address - Country:US
Mailing Address - Phone:800-961-6123
Mailing Address - Fax:
Practice Address - Street 1:7755 CENTER AVE
Practice Address - Street 2:#700
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3007
Practice Address - Country:US
Practice Address - Phone:800-961-6123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS09007561041C0700X
CA298531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical