Garrett, Christopher Andrew

Garrett, Christopher Andrew is an sole proprietor health care provider with primary practice located at 2201 Ironwood Pl Suite 100, Coeur D Alene ID 83814-2670. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Garrett, Christopher Andrew can be contacted via phone (208) 769-4222.

Contact Information

Primary practice address
2201 Ironwood Pl Suite 100 Coeur D Alene ID 83814-2670
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LMSW-31474 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW - 34818 Idaho

Profile Details

NPI number 1306132493
LBN Legal business name Garrett, Christopher Andrew
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2011
Last updated Jun 17th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306132493 NPPES
Idaho MEDICAID 1306132493

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