Paulsen, Christina Nicole

Paulsen, Christina Nicole is an sole proprietor health care provider with primary practice located at 1112 S Washington St , Naperville IL 60540-7959. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Paulsen, Christina Nicole can be contacted via phone (630) 717-9858.

Contact Information

Primary practice address
1112 S Washington St Naperville IL 60540-7959
Phone: (630) 717-9858
Fax: (630) 717-8259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1609905421
LBN Legal business name Paulsen, Christina Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 17 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 1609905421 NPPES
Illinois Other 02232970 BLUE SHIELD PROVIDER #

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