Provider Demographics
NPI:1417552530
Name:CHRISTMANN, ELIZABETH MCKENNA (LPCC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MCKENNA
Last Name:CHRISTMANN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 W MAIN AVE STE 325
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-3890
Mailing Address - Country:US
Mailing Address - Phone:701-877-2471
Mailing Address - Fax:
Practice Address - Street 1:107 W MAIN AVE STE 325
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-3890
Practice Address - Country:US
Practice Address - Phone:701-251-0090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND10819120531101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional