MEDICARE: MRS. CHRISTIN DENISE BARTUNEK PCC-S

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	E.0500041-SUPV	OH

General Provider Information

NPI Number	:	1861939019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTIN DENISE BARTUNEK PCC-S

Provider Business Mailing Address
First Line	:	650 GRAHAM RD
Second Line	:	SUITE 101
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-1052
Country	:	US
Telephone Number	:	330-928-0044
Fax Number	:

Provider Business Practice Location Address
First Line	:	5300 E MAIN ST
Second Line	:	SUITE 103
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2580
Country	:	US
Telephone Number	:	614-207-8812
Fax Number	:

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

Provider Enumeration Date	:	01/26/2017
Last Update Date	:	01/26/2017

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