Healthcare Provider Details

I. General information

NPI: 1174469795
Provider Name (Legal Business Name): CHRISTA VANBUSKIRK MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9989 CONCORD RD
DUBLIN OH
43017-8511
US

IV. Provider business mailing address

9989 CONCORD RD
DUBLIN OH
43017-8511
US

V. Phone/Fax

Practice location:
  • Phone: 614-798-3570
  • Fax:
Mailing address:
  • Phone: 614-798-3570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberS.2512662
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: