Provider Demographics
NPI:1932216884
Name:CHRISTENSEN, CATHY
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
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 1:34033 N 43RD ST
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-4017
Mailing Address - Country:US
Mailing Address - Phone:480-558-8902
Mailing Address - Fax:
Practice Address - Street 1:3030 E CACTUS RD
Practice Address - Street 2:STE. 105
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-7197
Practice Address - Country:US
Practice Address - Phone:480-558-9814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-1686101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor