Healthcare Provider Details

I. General information

NPI: 1750832457
Provider Name (Legal Business Name): ANDREW CHRISTIAN B.S., B.A., CT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2016
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 N 2ND ST
IRONTON OH
45638-1235
US

IV. Provider business mailing address

PO BOX 614
IRONTON OH
45638-0614
US

V. Phone/Fax

Practice location:
  • Phone: 740-442-7045
  • Fax:
Mailing address:
  • Phone: 740-442-7045
  • Fax: 740-442-7047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2404313
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: