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Individual
MR. JOHN CHARLES BUNGARD
Active
Individual
MR. JOHN CHARLES BUNGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701002574
VA
101YM0800X
Mental Health Counselor
Primary
0701002574
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087539
SENTARA/OPTIMA
VA
01
—
381197
ANTHEM BC/BS
VA
Enumeration date
06/27/2005
Last updated
07/13/2026
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