Provider Demographics
NPI:1871910133
Name:CHRISTIANSON COUNSELING SERVICES
Entity type:Organization
Organization Name:CHRISTIANSON COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHRISTIANSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:513-604-9936
Mailing Address - Street 1:5455 WASIGO DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-1224
Mailing Address - Country:US
Mailing Address - Phone:513-604-9936
Mailing Address - Fax:513-232-0042
Practice Address - Street 1:10921 REED HARTMAN HWY
Practice Address - Street 2:SUITE 212
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-2830
Practice Address - Country:US
Practice Address - Phone:513-604-9936
Practice Address - Fax:513-232-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-0007253 SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty