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NPI Code Detail

MEDICARE: ALAN J CHRISTENBERRY

MEDICARE: ALAN J CHRISTENBERRY
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
1101YM0800XMental Health Counselor39001088AIN

General Provider Information

NPI Number : 1689677601
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN J CHRISTENBERRY
Provider Business Mailing Address
First Line : 850 N HARRISON ST
Second Line :
City : WARSAW
State : IN
Zip : 46580-3163
Country : US
Telephone Number : 574-267-7169
Fax Number : 574-269-3995
Provider Business Practice Location Address
First Line : 119 W MARKET ST
Second Line :
City : COLUMBIA CITY
State : IN
Zip : 46725-2311
Country : US
Telephone Number : 260-248-8176
Fax Number : 260-248-2236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/08/2007

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Directions to “ ALAN J CHRISTENBERRY ” Practice Location

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