Provider Demographics
NPI:1871041723
Name:CHRISTENSEN, CLARISSA M (LPC)
Entity Type:Individual
Prefix:MS
First Name:CLARISSA
Middle Name:M
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 S LOCUST ST STE 101
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-6137
Mailing Address - Country:US
Mailing Address - Phone:979-578-1701
Mailing Address - Fax:
Practice Address - Street 1:525 S LOCUST ST STE 101
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-6137
Practice Address - Country:US
Practice Address - Phone:979-578-1701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72730101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional