Christensen, Jeffrey Jay

Christensen, Jeffrey Jay is an sole proprietor health care provider with primary practice located at 1900 S Main St Suite 112, Wake Forest NC 27587-5026. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Christensen, Jeffrey Jay can be contacted via phone (919) 757-3440.

Contact Information

Primary practice address
1900 S Main St Suite 112 Wake Forest NC 27587-5026
Phone: (919) 757-3440
Fax: (919) 562-5696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1138 North Carolina

Profile Details

NPI number 1356488878
LBN Legal business name Christensen, Jeffrey Jay
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jun 12th, 2014 - about 12 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 1356488878 NPPES
North Carolina MEDICAID 6105161

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