MEDICARE: MS. CHRISTINE ANN BARDEL LPC, CRC

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
1	101YP2500X	Professional Counselor	6401013056	MI

General Provider Information

NPI Number	:	1588098032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINE ANN BARDEL LPC, CRC

Provider Business Mailing Address
First Line	:	13967 HUNTINGTON ST
Second Line	:
City	:	RIVERVIEW
State	:	MI
Zip	:	48193-7547
Country	:	US
Telephone Number	:	313-598-7955
Fax Number	:

Provider Business Practice Location Address
First Line	:	24500 FORD RD STE 10
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3145
Country	:	US
Telephone Number	:	734-655-0051
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2013
Last Update Date	:	07/07/2025

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