Doctor Name: | MRS. CHRISTIE JANE CNOSSEN |
NPI Number: | 1013061258 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., LMHC |
License Number: | 6070 |
Business Practice Address: | 1 Memorial Sq Suite 203 Whitinsville, MA - 015883010 |
Business Phone Number: | 5082348100 |
Business Fax Number: | 5082342913 |
Mailing Address: | 295 Pollard Rd, NORTHBRIDGE |
State: | MA |
Postal Code: | 015341063 |
Phone Number: | 5082347994 |
Fax Number: | 5082342913 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |