| John L Christensen Phd Pc | |
|
500 S 11th Ave Suite 302 Pocatello ID 83201 | |
| (208) 233-0150 | |
| (208) 233-0159 |
| Full Name | John L Christensen Phd Pc |
|---|---|
| Speciality | Rehabilitation Counselor |
| Location | 500 S 11th Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Nichole Christensen (SECRETARY) |
| Authorized Official Contact | 2082341707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John L Christensen Phd Pc 13235 N Manning Ln Pocatello ID 83202-5184 Ph: (208) 233-0150 | John L Christensen Phd Pc 500 S 11th Ave Suite 302 Pocatello ID 83201 Ph: (208) 233-0150 |
| NPI Number | 1245353440 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 05/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245353440 | NPI | - | NPPES |
| 807691400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY202148 (Idaho) | Secondary |
| 225C00000X | Rehabilitation Counselor | PSY202148 (Idaho) | Primary |
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