MEDICARE: RONALD LYLE CHRISTENSEN MS MFT

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	106H00000X	Marriage & Family Therapist	0666	NV

General Provider Information

NPI Number	:	1386679553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD LYLE CHRISTENSEN MS MFT

Provider Business Mailing Address
First Line	:	PO BOX 618
Second Line	:
City	:	LEVAN
State	:	UT
Zip	:	84639-0618
Country	:	US
Telephone Number	:	702-451-2141
Fax Number	:	702-478-3288

Provider Business Practice Location Address
First Line	:	871 CORONADO CENTER DR STE 200
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-3977
Country	:	US
Telephone Number	:	702-451-2141
Fax Number	:	702-478-3288

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	06/17/2025

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