Canales, Vicki J.

Canales, Vicki J. is an individual health care provider with primary practice located at 24 Sweden St Suite #201, Caribou ME 04736-2127. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Canales, Vicki J. can be contacted via phone (207) 493-3361.

Contact Information

Primary practice address
24 Sweden St Suite #201 Caribou ME 04736-2127
Phone: (207) 493-3361
Fax: (207) 492-4889
Website:
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Health care specialties

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

Profile Details

NPI number 1992000632
LBN Legal business name Canales, Vicki J.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2011
Last updated Jan 11th, 2011 - about 13 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 1992000632 NPPES
Maine MEDICAID 103850000

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