MEDICARE: CHRISTINE ANDERSON RUNNELLS

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	101YM0800X	Mental Health Counselor	67340	TX

General Provider Information

NPI Number	:	1932845310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ANDERSON RUNNELLS

Provider Business Mailing Address
First Line	:	8409 MOUNT SHASTA CV
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-3547
Country	:	US
Telephone Number	:	512-450-8034
Fax Number	:

Provider Business Practice Location Address
First Line	:	8409 MOUNT SHASTA CV
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-3547
Country	:	US
Telephone Number	:	512-450-8034
Fax Number	:

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

Provider Enumeration Date	:	05/09/2022
Last Update Date	:	06/02/2026

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Directions to “ CHRISTINE ANDERSON RUNNELLS ” Practice Location

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