Organization
BART M BUKAS, MA,LPC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BART MATTHEW BUKAS LPC (OWNER)
(703) 534-1401
Entity
Organization
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 BCBS
VA
Enumeration date
01/04/2008
Last updated
01/04/2008
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