| Doctor Name: | MR. RANDALL MARK CHRISTENSEN |
| NPI Number: | 1447500806 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS |
| License Number: | 6301007038 |
| Business Practice Address: | 6195 Miller Rd Swartz Creek, MI - 484731599 |
| Business Phone Number: | 8106301152 |
| Business Fax Number: | |
| Mailing Address: | 2016 6th St, BAY CITY |
| State: | MI |
| Postal Code: | 487086798 |
| Phone Number: | 9895730787 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2012 |
| NPI Last Update Date: | 09/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 6301007038 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |