Provider Demographics
NPI:1306542238
Name:CHRISTENSEN, DIANA E (MS, LMHC)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:E
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:E
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2240 9TH ST
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1575
Mailing Address - Country:US
Mailing Address - Phone:515-988-1646
Mailing Address - Fax:
Practice Address - Street 1:1454 30TH ST STE 108
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1311
Practice Address - Country:US
Practice Address - Phone:515-450-8913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-02
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA117128101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health