NPI 1245353440
John L Christensen PHD PC
Practice location
- Address
- 500 S 11th Ave Suite 302, Pocatello, ID 83201
- Phone
- (208) 233-0150
- Fax
- (208) 233-0159
- Mailing address
- 13235 N Manning Ln, Pocatello, ID 83202-5184
Authorised official
- Name
- Nichole Christensen
- Title
- Secretary
- Phone
- (208) 234-1707
Registered specialties (2)
Rehabilitation Counselor
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1245353440
- Entity type
- Organization
- NPI issued
- 10 Apr 2007
- Record last updated
- 27 May 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.