Provider Demographics
NPI:1932615127
Name:HUSZAR, CHRISTINA L (LMSW)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:L
Last Name:HUSZAR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:L
Other - Last Name:HUSZAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3487 E MISTYWOODS ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-6902
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:325 W IDAHO ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-6040
Practice Address - Country:US
Practice Address - Phone:208-381-2138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-25
Last Update Date:2017-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker