MEDICARE: CHRISTINE JENSEN GALUMBECK LCPC

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	LC0854	MD

General Provider Information

NPI Number	:	1689621575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE JENSEN GALUMBECK LCPC

Provider Business Mailing Address
First Line	:	901 EASTERN BLVD
Second Line	:	SUITE 103
City	:	ESSEX
State	:	MD
Zip	:	21221-3416
Country	:	US
Telephone Number	:	410-238-7729
Fax Number	:	410-238-7792

Provider Business Practice Location Address
First Line	:	901 EASTERN BLVD
Second Line	:	SUITE 103
City	:	ESSEX
State	:	MD
Zip	:	21221-3416
Country	:	US
Telephone Number	:	410-238-7729
Fax Number	:	410-238-7792

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

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	07/08/2007

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