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
Phone: (508) 561-0477
Fax: (800) 595-0717
Website:
Health care specialties
Specialty | Code | License # | 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 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265608905 | NPPES |
Rhode Island | MEDICAID | AB73824 |
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