Boutin-Gammon, Anne

Boutin-Gammon, Anne is an sole proprietor health care provider with primary practice located at 225 Newman Ave , Rumford RI 02916-1218. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Boutin-Gammon, Anne can be contacted via phone (508) 561-0477.

Contact Information

Primary practice address
225 Newman Ave Rumford RI 02916-1218
Fax: (800) 595-0717
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC00232 Rhode Island

Profile Details

NPI number 1265608905
LBN Legal business name Boutin-Gammon, Anne
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2008
Last updated Aug 25th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265608905 NPPES
Rhode Island MEDICAID AB73824

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