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NPI Code Detail

MEDICARE: MR. MICHAEL CHRISTIANSEN

MEDICARE: MR. MICHAEL CHRISTIANSEN
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 CounselorPC012224PA

General Provider Information

NPI Number : 1952825747
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL CHRISTIANSEN
Provider Business Mailing Address
First Line : PO BOX 70
Second Line :
City : ZELIENOPLE
State : PA
Zip : 16063-0070
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 EMERSON LN STE 1525
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-3484
Country : US
Telephone Number : 412-564-1172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2017
Last Update Date : 06/23/2020

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Directions to “ MR. MICHAEL CHRISTIANSEN ” Practice Location

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