Healthcare Provider Details

I. General information

NPI: 1346837416
Provider Name (Legal Business Name): CHRISTINA M KUCHMA MA, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2020
Last Update Date: 12/23/2020
Certification Date: 12/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1037 COMPASS CIR
GREENSBURG PA
15601-2788
US

IV. Provider business mailing address

1037 COMPASS CIRCLE
GREENSBURG PA
15601
US

V. Phone/Fax

Practice location:
  • Phone: 724-834-1144
  • Fax: 724-552-2086
Mailing address:
  • Phone: 724-875-5758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: