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MR. JOHN CHARLES BUNGARD LPC

Counselor

Harrisonburg, Virginia

Provider NPI: 1033115845

Provider Information:
MR. JOHN CHARLES BUNGARD LPC
Gender: M


Practice Location:
463 E WASHINGTON ST  HARRISONBURG, VA 22802 US
Tel: 540-433-3100  Fax: 540-432-6989

Business Mailing Address:
1241 N MAIN ST  HARRISONBURG, VA 22802 US
Tel: 540-433-3100  Fax: 540-432-6989

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X101Y00000XBehavioral Health & Social Service Providers
Counselor
VA0701002574
X101YM0800XBehavioral Health & Social Service Providers
Counselor
VA0701002574

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM BC/BS381197VA01
SENTARA/OPTIMA087539VA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







COUNSELOR JOBS VA - Page 1

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