Provider Demographics
NPI:1881785988
Name:CHRISTENSEN, ELIZABETH GRACE (MS, LCMFT)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:GRACE
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:MS, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 N. WESTLINK AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212
Mailing Address - Country:US
Mailing Address - Phone:316-393-3901
Mailing Address - Fax:316-943-8106
Practice Address - Street 1:521 N. WESTLINK AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212
Practice Address - Country:US
Practice Address - Phone:316-393-3901
Practice Address - Fax:316-943-8106
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2023-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS722106H00000X
KS691106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist