Individual
MS. CHRISTINE OTTAVIANO SHESTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. LMHC
Contact information
Practice address
109 N SCOTT ST, BLUFFTON, IN 46714-2004
(260) 824-0089
(260) 824-4209
Mailing address
PO BOX 205, BLUFFTON, IN 46714-0205
(260) 824-0089
(260) 824-4209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000248A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000324156
ANTHEM BLUE CROSS
IN
05
—
200456370A
—
IN
01
—
345600
MANAGED HEALTH NETWORK
IN
01
—
473559000
MAGELLAN
IN
01
—
512125
VALUEOPTIONS
IN
Enumeration date
06/16/2005
Last updated
01/20/2012
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