Doctor Name: | MS. SHARLENE CHRISTENSEN |
NPI Number: | 1114220092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CMHC |
License Number: | 6078750-6004 |
Business Practice Address: | 13878 S. Ken Cv Herriman, UT - 84096 |
Business Phone Number: | 8019109558 |
Business Fax Number: | |
Mailing Address: | 13878 S Ken Cv, HERRIMAN |
State: | UT |
Postal Code: | 840963907 |
Phone Number: | 8019109558 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2010 |
NPI Last Update Date: | 10/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6078750-6004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |