Provider Demographics
NPI:1528187788
Name:BITONTI, CHRISTINE MARIA (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MARIA
Last Name:BITONTI
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1575
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:CA
Mailing Address - Zip Code:95327-1575
Mailing Address - Country:US
Mailing Address - Phone:209-984-3712
Mailing Address - Fax:
Practice Address - Street 1:1209 WOODROW AVE STE B10
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-1273
Practice Address - Country:US
Practice Address - Phone:209-558-5312
Practice Address - Fax:209-558-5310
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS68481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical