MEDICARE: R CHRISTOPHER & ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	5855	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11707545	OTHER	MA	CAGH

General Provider Information

NPI Number	:	1124296793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R CHRISTOPHER & ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 752
Second Line	:	245 RUSSELL STREET
City	:	HADLEY
State	:	MA
Zip	:	01035-0752
Country	:	US
Telephone Number	:	413-586-8485
Fax Number	:	413-303-9666

Provider Business Practice Location Address
First Line	:	245 RUSSELL ST
Second Line	:
City	:	HADLEY
State	:	MA
Zip	:	01035-9529
Country	:	US
Telephone Number	:	413-586-8485
Fax Number	:	413-303-9666

Authorized Official
Title or Position	:	CLERK
Name	:	MR. ROBERT C STEVENS
Credential	:	MED LMHC
Telephone Number	:	413-586-8485

Provider Enumeration Date	:	02/15/2008
Last Update Date	:	03/18/2014

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Directions to “R CHRISTOPHER & ASSOCIATES ” Practice Location

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