Doctor Name: | MARGO CHRISTINE RUNKLE |
NPI Number: | 1710219159 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | JD, MA |
License Number: | 6301014399 |
Business Practice Address: | 4265 Niles Rd Saint Joseph, MI - 490859603 |
Business Phone Number: | 2696152450 |
Business Fax Number: | 2694283448 |
Mailing Address: | 4265 Niles Rd, SAINT JOSEPH |
State: | MI |
Postal Code: | 490859603 |
Phone Number: | 2696152450 |
Fax Number: | 2694283448 |
NPI Enumeration Date: | 02/10/2010 |
NPI Last Update Date: | 03/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6301014399 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |