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NPI Code Detail

MEDICARE: CHRISTINA TRIANTAFILLOU

MEDICARE: CHRISTINA TRIANTAFILLOU
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
1101YP2500XProfessional Counselor0701008477VA

General Provider Information

NPI Number : 1750934741
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA TRIANTAFILLOU
Provider Business Mailing Address
First Line : 1000 JEFFERSON ST STE 2C
Second Line :
City : LYNCHBURG
State : VA
Zip : 24504-1724
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8 SAN JOSE DR STE 3E
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23606-3508
Country : US
Telephone Number : 757-657-8088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2019
Last Update Date : 07/19/2019

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Directions to “ CHRISTINA TRIANTAFILLOU ” Practice Location

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