person
Christopher David Kotch, LCSW
VA Clinic/Center in Portland, Maine
NPI 1992471932

Christopher David Kotch is a VA Clinic/Center based in Augusta, ME and is specialized in VA. Christopher David Kotch practices in Portland, ME and has the professional credentials of LCSW. The NPI Number for Christopher David Kotch is 1992471932 and holds a License No. LC18099 (Maine).

The current practice location address for Christopher David Kotch is 144 Fore St, Portland, ME and can be reached out via phone at 207-771-3545.

Location: 144 Fore St, Portland, ME, 04330-6795
person
Provider Profile Details
NPI Number
1992471932
Provider Name
Christopher David Kotch
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
144 Fore St, Portland, ME, 04330-6795
Phone Number
207-771-3545
Fax Number
Provider Enumeration Date
08/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LC18099 05 ME
institution
Provider Business Practice Location Address Details
Address
144 Fore St
City
State
Zip
04101-4843
Phone Number
207-771-3545
Fax Number
person
Provider Business Mailing Address Details
Address
144 Fore St
City
State
Zip
04101-4843
Phone Number
207-771-3545
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
VA
Taxonomy
License No.
LC18099 (Maine)
Definition
Definition to come...
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