Provider Demographics
NPI:1639540065
Name:DEB CHRISTIANSEN COUNSELING
Entity Type:Organization
Organization Name:DEB CHRISTIANSEN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTIANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP, PLADC
Authorized Official - Phone:402-650-0175
Mailing Address - Street 1:9300 UNDERWOOD AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2685
Mailing Address - Country:US
Mailing Address - Phone:402-650-0175
Mailing Address - Fax:402-905-0093
Practice Address - Street 1:9300 UNDERWOOD AVE STE 240
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2685
Practice Address - Country:US
Practice Address - Phone:402-650-0175
Practice Address - Fax:402-905-0093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-1230101YA0400X
NE4491101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty