| Christopher Glenn Chiverton | |
|
386 Fore St Ste 304 Portland ME 04101-7406 | |
| (585) 613-2657 | |
| Not Available |
| Full Name | Christopher Glenn Chiverton |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 386 Fore St Ste 304, Portland, Maine |
| Authorized Official Name and Position | Christopher Chiverton (OWNER) |
| Authorized Official Contact | 5856132657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Glenn Chiverton 271 Brackett St Apt 1 Portland ME 04102-3219 Ph: () - | Christopher Glenn Chiverton 386 Fore St Ste 304 Portland ME 04101-7406 Ph: (585) 613-2657 |
| NPI Number | 1184187932 |
|---|---|
| Provider Enumeration Date | 04/09/2019 |
| Last Update Date | 04/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184187932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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