Individual
MRS. BARBARA PEARL BUNGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
677 EAST MAIN STREET, SUITE A, CENTREVILLE, MI 49032
(269) 467-1000
(269) 467-3075
Mailing address
677 EAST MAIN STREET, SUITE A, CENTREVILLE, MI 49032
(269) 467-1000
(269) 467-3075
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013105
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1708146
—
MI
Enumeration date
07/26/2012
Last updated
01/04/2016
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