Provider Demographics
NPI:1821494410
Name:BHADER, CHRISTIANNA
Entity Type:Individual
Prefix:
First Name:CHRISTIANNA
Middle Name:
Last Name:BHADER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 HENDRY CIR
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-4222
Mailing Address - Country:US
Mailing Address - Phone:408-781-3009
Mailing Address - Fax:
Practice Address - Street 1:1254 HIGH ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-5015
Practice Address - Country:US
Practice Address - Phone:530-889-9195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)