Provider Demographics
NPI:1427384957
Name:CAREER CONSULTANT COMPANY
Entity Type:Organization
Organization Name:CAREER CONSULTANT COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BERTHA
Authorized Official - Middle Name:EVELYN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-597-2546
Mailing Address - Street 1:140 TURNER ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:ME
Mailing Address - Zip Code:04221-3045
Mailing Address - Country:US
Mailing Address - Phone:207-597-2546
Mailing Address - Fax:
Practice Address - Street 1:140 TURNER ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:ME
Practice Address - Zip Code:04221-3045
Practice Address - Country:US
Practice Address - Phone:207-597-2546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-18
Last Update Date:2009-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME433669100251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME433669100OtherMAINECARE