Individual
CHRISTINE BOTT-SCHMUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
299 GREENE RD, MATHEWS, VA 23109-2227
(757) 696-5009
(866) 221-7401
Mailing address
PO BOX 484, MATHEWS, VA 23109-0484
(757) 696-5009
(866) 221-7401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005026
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12241436
CAQH
VA
05
—
1720370596
—
VA
01
—
491064
TRICARE
VA
Enumeration date
05/11/2011
Last updated
03/30/2024
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