Provider Demographics
NPI:1285081414
Name:CHRISTOPHERSON, DEANETTE (MA LMHC)
Entity type:Individual
Prefix:MRS
First Name:DEANETTE
Middle Name:
Last Name:CHRISTOPHERSON
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9816 N FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99217-9779
Mailing Address - Country:US
Mailing Address - Phone:509-844-4037
Mailing Address - Fax:
Practice Address - Street 1:9816 N FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99217-9779
Practice Address - Country:US
Practice Address - Phone:509-844-4037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60609133101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health