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NPI Code Detail

MEDICARE: CHASE CHRISTENSEN

MEDICARE: CHASE CHRISTENSEN
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
1106H00000XMarriage & Family Therapist51211CA

General Provider Information

NPI Number : 1790970572
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASE CHRISTENSEN
Provider Business Mailing Address
First Line : 333 S FARRELL DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-7905
Country : US
Telephone Number : 760-416-1360
Fax Number :
Provider Business Practice Location Address
First Line : 333 S FARRELL DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-7905
Country : US
Telephone Number : 760-416-1360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2007
Last Update Date : 07/18/2013

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Directions to “ CHASE CHRISTENSEN ” Practice Location

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