Main, Christine Susan

Main, Christine Susan is an individual health care provider with primary practice located at 2003 Godwin Ave Suite A, Lumberton NC 28358-3149. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Main, Christine Susan can be contacted via phone (910) 739-8849.

Contact Information

Primary practice address
2003 Godwin Ave Suite A Lumberton NC 28358-3149
Phone: (910) 739-8849
Fax: (910) 739-3197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2083 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C007922 North Carolina

Profile Details

NPI number 1134478191
LBN Legal business name Main, Christine Susan
Credentials LCSW, LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2012
Last updated Sep 6th, 2012 - 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 1134478191 NPPES
North Carolina Other 2083 LICENSE
North Carolina Other C007922 LICENSE

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