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NPI Code Detail

MEDICARE: ALISHA CHRISTENSEN BA

MEDICARE: ALISHA CHRISTENSEN BA
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1558721514
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISHA CHRISTENSEN BA
Provider Business Mailing Address
First Line : 2518 ANTHEM VILLAGE DR STE 103
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5554
Country : US
Telephone Number : 702-601-3241
Fax Number :
Provider Business Practice Location Address
First Line : 2518 ANTHEM VILLAGE DR STE 103121
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5554
Country : US
Telephone Number : 702-451-2141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2016
Last Update Date : 09/22/2020

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