Provider Demographics
NPI:1013061258
Name:CNOSSEN, CHRISTIE JANE (MS, LMHC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:JANE
Last Name:CNOSSEN
Suffix:
Gender:F
Credentials:MS, LMHC
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Mailing Address - Street 1:295 POLLARD RD
Mailing Address - Street 2:
Mailing Address - City:NORTHBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01534-1063
Mailing Address - Country:US
Mailing Address - Phone:508-234-7994
Mailing Address - Fax:508-234-2913
Practice Address - Street 1:1 MEMORIAL SQ
Practice Address - Street 2:SUITE 203
Practice Address - City:WHITINSVILLE
Practice Address - State:MA
Practice Address - Zip Code:01588-3010
Practice Address - Country:US
Practice Address - Phone:508-234-8100
Practice Address - Fax:508-234-2913
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA6070101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health