MEDICARE: SHAWNA CHRISTENSEN PROFESSIONAL CLINICAL COUNSELOR INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1174226211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAWNA CHRISTENSEN PROFESSIONAL CLINICAL COUNSELOR INC

Provider Business Mailing Address
First Line	:	10824 OLSON DR STE C
Second Line	:	188
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95670-5651
Country	:	US
Telephone Number	:	916-382-0712
Fax Number	:

Provider Business Practice Location Address
First Line	:	10824 OLSON DR STE C188
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95670-5651
Country	:	US
Telephone Number	:	916-382-0712
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHAWNA R CHRISTENSEN
Credential	:
Telephone Number	:	916-382-0712

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	03/09/2026

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