Individual
CHRISTA BETH GUNDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 NORTHRIDGE ST, HUNTINGTON STATION, NY 11746-1025
(262) 707-6539
Mailing address
15 NORTHRIDGE ST, HUNTINGTON STATION, NY 11746-1025
(262) 707-6539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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