Doctor Name: | RENEE M CHRISTIANSEN |
NPI Number: | 1871630954 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 213 E Nebraska St Elburn, IL - 601199041 |
Business Phone Number: | 6303650630 |
Business Fax Number: | 6303650630 |
Mailing Address: | 213 E Nebraska St, ELBURN |
State: | IL |
Postal Code: | 601199041 |
Phone Number: | 6303650630 |
Fax Number: | 6303650630 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |