Matthew Christensen, LCSW

NPI 1013275544 · on the registry since 2012

Practice

Address: 5230 W Moonlight Mine Rd.
Pocatello, ID 83201
Phone: (208) 351-3956
Organisation at this address: Legacy Healthcare Group
Moonlight Mountain Recovery, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 101YA0400X
104100000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho