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Contact Information

CHRISTINA FAY, LCSW, LADC, CCS
68 BISHOP ST STE 3
PORTLAND, ME04103-2681
 Phone: 207-281-2681
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for CHRISTINA FAY · (Female)

NPI # 1861704488
Status Active
Credentials LCSW, LADC, CCS
Entity Individual
Enumeration date 07/12/2010
Last updated 11/14/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # CCS4684
  • ME License # LC11294
  • ME License # LC4524
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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