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NPI Code Detail

MEDICARE: CHRISTINE M UNRUH MS, LPC, LPCC

MEDICARE: CHRISTINE M UNRUH MS, LPC, LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor8410WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558917286
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE M UNRUH MS, LPC, LPCC
Provider Business Mailing Address
First Line : W175N11120 STONEWOOD DR
Second Line :
City : GERMANTOWN
State : WI
Zip : 53022-4799
Country : US
Telephone Number : 262-345-5533
Fax Number : 262-293-9737
Provider Business Practice Location Address
First Line : 2720 SUPERIOR DR NW STE 103
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-1775
Country : US
Telephone Number : 800-438-1772
Fax Number : 262-345-5562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2019
Last Update Date : 09/18/2024

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