Provider Demographics
NPI:1730820572
Name:BUNN, CHRISTINA OLIVIA (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:OLIVIA
Last Name:BUNN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1045 TAYLORS CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-6013
Mailing Address - Country:US
Mailing Address - Phone:256-239-5605
Mailing Address - Fax:
Practice Address - Street 1:410 SOUTHSIDE AVE
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5268
Practice Address - Country:US
Practice Address - Phone:256-282-3885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4589101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health