Provider Demographics
NPI:1598465916
Name:BUNN, CHRISTY EDWARDS (LPC-A)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:EDWARDS
Last Name:BUNN
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 E COPPER SAGE CIR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4621
Mailing Address - Country:US
Mailing Address - Phone:214-862-5075
Mailing Address - Fax:
Practice Address - Street 1:31 E COPPER SAGE CIR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-4621
Practice Address - Country:US
Practice Address - Phone:214-862-5075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88543101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional