Provider Demographics
NPI:1659399657
Name:BARTH, CHRISTINE KAY (MA, CGC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:KAY
Last Name:BARTH
Suffix:
Gender:F
Credentials:MA, CGC
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 270
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:CO
Mailing Address - Zip Code:81643-0270
Mailing Address - Country:US
Mailing Address - Phone:970-250-4609
Mailing Address - Fax:
Practice Address - Street 1:501 AIRPORT RD # 912
Practice Address - Street 2:
Practice Address - City:RIFLE
Practice Address - State:CO
Practice Address - Zip Code:81650-8510
Practice Address - Country:US
Practice Address - Phone:970-250-4609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS