Provider Demographics
NPI:1922520147
Name:CHRISTENSEN, HALEY NOEL
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:NOEL
Last Name:CHRISTENSEN
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 1:7S546 MARY ST
Mailing Address - Street 2:
Mailing Address - City:BIG ROCK
Mailing Address - State:IL
Mailing Address - Zip Code:60511-9410
Mailing Address - Country:US
Mailing Address - Phone:630-777-0265
Mailing Address - Fax:
Practice Address - Street 1:520 E KENDALL DR UNIT A
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-1956
Practice Address - Country:US
Practice Address - Phone:630-385-2784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health