Provider Demographics
NPI:1174729651
Name:CHRISTENSEN, KAREN M (MS, LICSW)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:M
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:MS, LICSW
Other - Prefix:
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Mailing Address - Street 1:4296 AMBER DR
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-2002
Mailing Address - Country:US
Mailing Address - Phone:651-365-1424
Mailing Address - Fax:651-681-1339
Practice Address - Street 1:2130 CLIFF RD
Practice Address - Street 2:SUITE 210 C
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-2485
Practice Address - Country:US
Practice Address - Phone:651-341-8548
Practice Address - Fax:651-681-1339
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN81691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical