Provider Demographics
NPI:1881976678
Name:CHRISTENSEN, CAROL SUE (MS ED, LPC,LMHP, NCC)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:SUE
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:MS ED, LPC,LMHP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 4TH AVENUE
Mailing Address - Street 2:PO BOX 29
Mailing Address - City:HOLDREGE
Mailing Address - State:NE
Mailing Address - Zip Code:68949-0029
Mailing Address - Country:US
Mailing Address - Phone:308-991-7798
Mailing Address - Fax:308-995-6090
Practice Address - Street 1:210 4TH AVE
Practice Address - Street 2:
Practice Address - City:HOLDREGE
Practice Address - State:NE
Practice Address - Zip Code:68949-2103
Practice Address - Country:US
Practice Address - Phone:308-991-7798
Practice Address - Fax:308-995-6090
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4200101YM0800X
NE2057101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health