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Christine Marie Kujawa

Counselor

Behavioral Health & Social Service Providers

3060 Mitchellville Rd, Suite 212, Bowie, MD 20716

PECOS Enrollment

This provider is enrolled in PECOS as CHRISTINE KUJAWA.

Based on the most recent information from CMS, provider Christine Marie Kujawa is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1265570329
Provider Type
Individual
Full Name
Kujawa, Christine Marie
Title
Ms.
Credential
MA NCC LCPC

Gender
Female
Sole Proprietor
No
Enumeration Date
2/1/2007
Last Updated
7/8/2007

Contact Information

Practice Location

3060 Mitchellville Rd, Suite 212, Bowie, MD 20716

(301) 218-5492

(301) 218-9514

Mailing Location

3060 Mitchellville Rd, Suite 212, Bowie, MD 20716

(301) 218-5492

(301) 218-9514

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License LC1635 Maryland

Christine Marie Kujawa

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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