Doctor Name: | MR. BRANDON CHRISTENSEN |
NPI Number: | 1023001229 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | 2003006941 |
Business Practice Address: | Psc 94 Box 1946 Apo, AE - 09824-1901 |
Business Phone Number: | 3223166452 |
Business Fax Number: | |
Mailing Address: | Psc 94 Box 1946, APO |
State: | AE |
Postal Code: | 09824-1901 |
Phone Number: | 3223166452 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2003006941 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |