Myers, Christian Ann

Myers, Christian Ann is an individual health care provider with primary practice located at 4703 44Th St , Rock Island IL 61201. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Myers, Christian Ann can be contacted via phone (309) 788-9581.

Contact Information

Primary practice address
4703 44Th St Rock Island IL 61201
Phone: (309) 788-9581
Fax: (309) 786-3856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180011594 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.012423 Illinois

Profile Details

NPI number 1629583430
LBN Legal business name Myers, Christian Ann
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2017
Last updated Jun 28th, 2018 - about 8 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 1629583430 NPPES
Illinois Other 180011594 STATE OF ILLINOIS LICENSED CLINICAL PROFESSIONAL COUNSELOR
Illinois Other 178012423 STATE OF ILLINOIS LICENSED CLINICAL PROFESSIONAL COUNSELOR

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