Doctor Name: | MRS. CHRISTINE DIANE CARDENAS |
NPI Number: | 1447352208 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | CW013708 |
Business Practice Address: | 31 Violet Ln West Grove, PA - 193909531 |
Business Phone Number: | 6103459009 |
Business Fax Number: | |
Mailing Address: | 31 Violet Ln, WEST GROVE |
State: | PA |
Postal Code: | 193909531 |
Phone Number: | 6103459009 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW013708 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |