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Individual

MR. BART M. BUKAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
100 N WASHINGTON ST, SUITE 238, FALLS CHURCH, VA 22046-4523
(703) 534-1401
(703) 534-1403
Mailing address
100 N WASHINGTON ST, SUITE 238, FALLS CHURCH, VA 22046-4523
(703) 534-1401
(703) 534-1403

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002910
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N210
CAREFIRST BC BS PIN
VA
Enumeration date
02/28/2007
Last updated
07/08/2007
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