Individual
CHRISTIAN BERTLEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
Mailing address
2404 WISE RD, CONWAY, SC 29526-5521
(438) 365-8884
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2020
Last updated
03/17/2021
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