Provider Demographics
NPI:1124296793
Name:R CHRISTOPHER & ASSOCIATES
Entity type:Organization
Organization Name:R CHRISTOPHER & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:MED LMHC
Authorized Official - Phone:413-586-8485
Mailing Address - Street 1:PO BOX 752
Mailing Address - Street 2:245 RUSSELL STREET
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-0752
Mailing Address - Country:US
Mailing Address - Phone:413-586-8485
Mailing Address - Fax:413-303-9666
Practice Address - Street 1:245 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9529
Practice Address - Country:US
Practice Address - Phone:413-586-8485
Practice Address - Fax:413-303-9666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5855101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA11707545OtherCAGH