Chase, Cynthia Marie
Chase, Cynthia Marie is an sole proprietor health care provider with primary practice located at 39 Baribeau Dr , Brunswick ME 04011-3242. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Chase, Cynthia Marie can be contacted via phone (207) 522-2073.Contact Information
Primary practice address
39 Baribeau Dr
Brunswick ME 04011-3242
Phone: (207) 522-2073
Fax: (207) 729-1803
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CC1723 | Maine |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LC1491 | Maine |
Profile Details
NPI number | 1194779942 |
---|---|
LBN Legal business name | Chase, Cynthia Marie |
Credentials | LCPC, LADC, CCS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 19th, 2006 |
Last updated | Apr 3rd, 2019 - about 5 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 | 1194779942 | NPPES |
Maine | Other | 048265 | ANTHEM |
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