Individual provider · Type 1 NPI
Christine Marie Brungardt
Professional Counselor · Edmond, OK
NPI number
1063006575
Active
Practice location
2001 Powderhorn
Edmond, OK 73034-6802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1584002 (OK) |
Professional Counselor: Definition to come...
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About NPI 1063006575
Christine Marie Brungardt's National Provider Identifier is 1063006575, issued on Feb 24, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Edmond, OK. The record was last updated on Feb 24, 2021.