JONETTE W CHRISTIAN LCPC
NPI 1659587517
Counselor - Professional in Bangor, ME
Active since May 15, 2007
About Jonette W Christian Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONETTE W CHRISTIAN LCPC (NPI 1659587517) is an individual professional provider in Bangor, Maine, licensed in Maine (CC1707) and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1659587517
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJONETTE W CHRISTIANCredential: LCPC
Location Address40 SUMMER STBangor, ME 04401-6446
Mailing Address557 South RdHolden, ME 04429-7531 · (207) 843-5786 · Fax (207) 990-3896
Phone(207) 947-0366
Fax(207) 990-3896
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1659587517 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ME · CC1707
40 SUMMER ST, Bangor, ME 04401
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659587517, enumerated as an "individual" on May 15, 2007.
The provider is located at 40 SUMMER ST BANGOR, ME 04401 and the phone number is (207) 947-0366.
Counselor with taxonomy code 101YP2500X and a focus in Professional.