Basic Information
| Provider Information | |||||||||
| NPI: | 1528187788 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BITONTI | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | MARIA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PH.D, LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1575 | ||||||||
| Address2: | |||||||||
| City: | JAMESTOWN | ||||||||
| State: | CA | ||||||||
| PostalCode: | 953271575 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2099843712 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1209 WOODROW AVE STE B10 | ||||||||
| Address2: | |||||||||
| City: | MODESTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 953501273 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2095585312 | ||||||||
| FaxNumber: | 2095585310 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2007 | ||||||||
| LastUpdateDate: | 10/21/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | LCS6848 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.