Provider Demographics
NPI:1285706101
Name:CHRISTIANSON, JAMES M (BA, CADC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:CHRISTIANSON
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Gender:M
Credentials:BA, CADC
Other - Prefix:
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Mailing Address - Street 1:1123 1ST AVE E
Mailing Address - Street 2:STE 200
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208
Mailing Address - Country:US
Mailing Address - Phone:641-792-4012
Mailing Address - Fax:641-791-0697
Practice Address - Street 1:1123 1ST AVE E
Practice Address - Street 2:STE 200
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208
Practice Address - Country:US
Practice Address - Phone:641-792-4012
Practice Address - Fax:641-791-0697
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA06138101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)