Provider Demographics
NPI:1093864472
Name:CHRISTINE HOPE DUEWEL LLC
Entity Type:Organization
Organization Name:CHRISTINE HOPE DUEWEL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMEBER SINGLE MEMBER LLC
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:DUEWEL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC NCC
Authorized Official - Phone:309-582-4555
Mailing Address - Street 1:PO BOX 955
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25443-0985
Mailing Address - Country:US
Mailing Address - Phone:304-582-4555
Mailing Address - Fax:304-876-2442
Practice Address - Street 1:218 S DUKE STREET
Practice Address - Street 2:
Practice Address - City:SHEPHERDSTOWN
Practice Address - State:WV
Practice Address - Zip Code:25443-0985
Practice Address - Country:US
Practice Address - Phone:304-582-4555
Practice Address - Fax:304-876-2442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1128101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty