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NPI Code Detail

MEDICARE: DR. ELIZABETH ANN CHRISTENSEN PH.D., NCC, LPC

MEDICARE: DR. ELIZABETH ANN CHRISTENSEN PH.D., NCC, LPC
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
1101YP2500XProfessional Counselor3951LA

General Provider Information

NPI Number : 1770834590
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH ANN CHRISTENSEN PH.D., NCC, LPC
Provider Business Mailing Address
First Line : 145 OK AVE
Second Line :
City : HARAHAN
State : LA
Zip : 70123-4727
Country : US
Telephone Number : 504-210-9521
Fax Number : 504-309-1491
Provider Business Practice Location Address
First Line : 137 NORTH CLARK ST.
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-5207
Country : US
Telephone Number : 504-210-9521
Fax Number : 504-309-1491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2012
Last Update Date : 09/20/2012

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