Provider Demographics
NPI:1730733601
Name:CHRISTIAN, VALERIE DENISE
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:DENISE
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:DENISE
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5898 MORNINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-3508
Mailing Address - Country:US
Mailing Address - Phone:410-919-6737
Mailing Address - Fax:443-979-7187
Practice Address - Street 1:5898 MORNINGBIRD LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3508
Practice Address - Country:US
Practice Address - Phone:410-919-6737
Practice Address - Fax:443-979-7187
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-30
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No175T00000XOther Service ProvidersPeer Specialist