| Doctor Name: | DR. CHRISTIE COUNSMAN EBERHARDT |
| NPI Number: | 1306852454 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | |
| Business Practice Address: | 17791 Birchtree St Chugiak, AK - 995676743 |
| Business Phone Number: | 9076887350 |
| Business Fax Number: | 9076887350 |
| Mailing Address: | 17791 Birchtree St, CHUGIAK |
| State: | AK |
| Postal Code: | 995676743 |
| Phone Number: | 9076887350 |
| Fax Number: | 9076887350 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |