Provider Demographics
NPI:1629251509
Name:JUNGERS, CHRISTIN M
Entity Type:Individual
Prefix:DR
First Name:CHRISTIN
Middle Name:M
Last Name:JUNGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:454 E CHURCH ST
Mailing Address - Street 2:APT. 105
Mailing Address - City:WINTERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-3713
Mailing Address - Country:US
Mailing Address - Phone:740-973-9298
Mailing Address - Fax:
Practice Address - Street 1:454 E CHURCH ST
Practice Address - Street 2:APT. 105
Practice Address - City:WINTERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43953-3713
Practice Address - Country:US
Practice Address - Phone:740-973-9298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0007611101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health