Provider Demographics
NPI:1851732002
Name:BERTOCCHINI, CHRISTINA MARIE (LPC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:BERTOCCHINI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1887 OAKBINE AVE
Mailing Address - Street 2:APT# 1
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-3041
Mailing Address - Country:US
Mailing Address - Phone:412-974-8616
Mailing Address - Fax:
Practice Address - Street 1:250 INSURANCE ST
Practice Address - Street 2:SUITE 204
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2760
Practice Address - Country:US
Practice Address - Phone:412-974-8616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005672101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor