Provider Demographics
NPI:1538291166
Name:CHRISTENSEN COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:CHRISTENSEN COUNSELING SERVICES, LLC
Other - Org Name:DON CHRISTENSEN
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:816-364-3476
Mailing Address - Street 1:3805 OAKLAND AVE
Mailing Address - Street 2:SUITE 102-F
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3688
Mailing Address - Country:US
Mailing Address - Phone:816-364-3476
Mailing Address - Fax:
Practice Address - Street 1:3805 OAKLAND AVE
Practice Address - Street 2:SUITE 102-F
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3688
Practice Address - Country:US
Practice Address - Phone:816-364-3476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000214251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
HEALTH LINK FREEDOMOther19695039
MO1001354300OtherCOMMUNITY HEALTH PLAN
MO19695039OtherBLUECROSSBLUESHIELD MO
19695039OtherEPOCH NEW DIRECTIONS
19695039OtherEPOCH NEW DIRECTIONS
MO1001354300OtherCOMMUNITY HEALTH PLAN