Individual
CHRISTINA ANN COUNCELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6731 SPRINGDALE CT, VICTOR, NY 14564
(503) 332-8557
Mailing address
6731 SPRINGDALE CT, VICTOR, NY 14564-9556
(503) 332-8557
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
7327777
NY
Other
Enumeration date
01/13/2018
Last updated
08/19/2018
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