Van Doren, Christopher Ray

Van Doren, Christopher Ray is an sole proprietor health care provider with primary practice located at 11 Brick Hill Rd , Windham ME 04062-3359. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Van Doren, Christopher Ray can be contacted via phone (207) 831-9480.

Contact Information

Primary practice address
11 Brick Hill Rd Windham ME 04062-3359
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC3069 Maine

Profile Details

NPI number 1700099595
LBN Legal business name Van Doren, Christopher Ray
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Aug 2nd, 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 1700099595 NPPES
Maine MEDICAID 431538599

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