Small, Christina
Small, Christina is an sole proprietor health care provider with primary practice located at 515 Crescent St , River Falls WI 54022-2625. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Small, Christina can be contacted via phone (715) 821-6132.Contact Information
Primary practice address
515 Crescent St
River Falls WI 54022-2625
Phone: (715) 821-6132
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9858 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 17551 | Minnesota |
Profile Details
| NPI number | 1285388017 |
|---|---|
| LBN Legal business name | Small, Christina |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2022 |
| Last updated | Mar 22nd, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285388017 | NPPES |
| Minnesota | MEDICAID | . |
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