Provider Demographics
NPI:1043331564
Name:BUNZICK, MARGARET MARY (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:MARY
Last Name:BUNZICK
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1738 ORLEANS RD
Mailing Address - Street 2:
Mailing Address - City:HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645-1541
Mailing Address - Country:US
Mailing Address - Phone:508-432-6815
Mailing Address - Fax:508-247-0910
Practice Address - Street 1:BARNSTABLE COUNSELING ASSOCIATES,LLC
Practice Address - Street 2:923 ROUTE 6A,UNIT N
Practice Address - City:YARMOUTH PORT
Practice Address - State:MA
Practice Address - Zip Code:02675
Practice Address - Country:US
Practice Address - Phone:508-362-4250
Practice Address - Fax:508-362-5150
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1029063101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health