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NPI Code Detail

MEDICARE: CHRISTINE CHAREST LMFT

MEDICARE: CHRISTINE CHAREST LMFT
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
1106H00000XMarriage & Family TherapistMF3189ME

General Provider Information

NPI Number : 1699867267
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE CHAREST LMFT
Provider Business Mailing Address
First Line : 87 POND RD
Second Line :
City : LEWISTON
State : ME
Zip : 04240-1608
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1155 LISBON ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-5025
Country : US
Telephone Number : 207-783-9141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 02/12/2008

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Directions to “ CHRISTINE CHAREST LMFT” Practice Location

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