Provider Demographics
NPI:1477881423
Name:MEANS-CHRISTENSEN, ADRIENNE J (PHD)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:J
Last Name:MEANS-CHRISTENSEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 S MAIN ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-6678
Mailing Address - Country:US
Mailing Address - Phone:540-443-8949
Mailing Address - Fax:540-739-2111
Practice Address - Street 1:2001 S MAIN ST
Practice Address - Street 2:SUITE 108
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-6678
Practice Address - Country:US
Practice Address - Phone:540-443-8949
Practice Address - Fax:540-739-2111
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004182103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical