Charest, Kristen M
Charest, Kristen M is an sole proprietor health care provider with primary practice located at 300 Portland Rd Ste 1 , Bridgton ME 04009-4227. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Charest, Kristen M can be contacted via phone (207) 890-2679.Contact Information
Primary practice address
300 Portland Rd Ste 1
Bridgton ME 04009-4227
Phone: (207) 890-2679
Fax: (207) 803-8543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1043827553 |
|---|---|
| LBN Legal business name | Charest, Kristen M |
| Credentials | LMSW-CC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2020 |
| Last updated | Sep 30th, 2020 - about 6 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 | 1043827553 | NPPES |
| Maine | Other | MC19197 | LMSW-CC |
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