Doctor Name: | SHERRY JEAN CHRISTENSEN |
NPI Number: | 1184809311 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPCI |
License Number: | 4922196-6009 |
Business Practice Address: | 656 N Main St Nephi, UT - 846481123 |
Business Phone Number: | 4356231456 |
Business Fax Number: | 4356231127 |
Mailing Address: | 255 W Main St, MOUNT PLEASANT |
State: | UT |
Postal Code: | 846471331 |
Phone Number: | 4354622416 |
Fax Number: | 4354623950 |
NPI Enumeration Date: | 01/07/2008 |
NPI Last Update Date: | 01/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4922196-6009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |