| Doctor Name: | JAN CHRISTIANSEN |
| NPI Number: | 1750755104 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMFT, CAP |
| License Number: | MT2700 |
| Business Practice Address: | Asap Counseling Center Bldg 226 Vilseck Apo, AE - 09112 |
| Business Phone Number: | 3154762503 |
| Business Fax Number: | |
| Mailing Address: | Cmr 411 Box 2069, APO |
| State: | AE |
| Postal Code: | 091120021 |
| Phone Number: | 3154762503 |
| Fax Number: | |
| NPI Enumeration Date: | 11/23/2015 |
| NPI Last Update Date: | 11/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | MT2700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |