MEDICARE: CHRISTY CHARLES BHT

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1659907236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY CHARLES BHT

Provider Business Mailing Address
First Line	:	1101 W PRINCE RD STE 111
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-3135
Country	:	US
Telephone Number	:	520-887-2643
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 W PRINCE RD STE 111
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-3135
Country	:	US
Telephone Number	:	520-887-2643
Fax Number	:

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

Provider Enumeration Date	:	03/16/2020
Last Update Date	:	03/16/2020

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Directions to “ CHRISTY CHARLES BHT” Practice Location

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