Charles Christensen, LPC
Counselor, Mental Health in Burley, ID. Individual provider (NPI-1).
NPI number1841024692
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1841024692
- Entity type
- Individual (NPI-1)
- Name
- Charles Christensen
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2024
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 6371360 | ID | Yes |
Practice location
612 E 200 SBurley, ID 83318-5405
Phone 208-572-0109
Mailing address
612 E 200 SBurley, ID 83318-5405
Phone 208-572-0109
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