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General NPI Number Information
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NPI Number | 1558721514
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Entity Type | Individual
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Provider Name | ALISHA CHRISTENSEN BA
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Gender | Female
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Dates
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Enumeration Date | 03/02/2016
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 2518 ANTHEM VILLAGE DR STE 103121
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City | HENDERSON
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State | NV
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Zip | 89052-5554
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Country | US
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Telephone | 702-451-2141
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Fax |
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Provider Business Mailing Address
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Address Line | 2518 ANTHEM VILLAGE DR STE 103
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City | HENDERSON
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State | NV
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Zip | 89052-5554
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Country | US
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Telephone | 702-601-3241
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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