MEDICARE: CHRISTINA BITZER LPC

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	101YM0800X	Mental Health Counselor	LAC-13341	AZ
2	101YM0800X	Mental Health Counselor	LPC-13901	AZ

General Provider Information

NPI Number	:	1659655785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA BITZER LPC

Provider Business Mailing Address
First Line	:	1830 S ALMA SCHOOL RD STE 112
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-3086
Country	:	US
Telephone Number	:	480-730-6222
Fax Number	:

Provider Business Practice Location Address
First Line	:	1830 S ALMA SCHOOL RD STE 112
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-3086
Country	:	US
Telephone Number	:	480-730-6222
Fax Number	:

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

Provider Enumeration Date	:	10/07/2011
Last Update Date	:	02/24/2014

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Directions to “ CHRISTINA BITZER LPC” Practice Location

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