Provider Demographics
NPI:1255729760
Name:DOSS, CHRISTINE L (LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:L
Last Name:DOSS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51816 ROAD 426
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:CA
Mailing Address - Zip Code:93644-9734
Mailing Address - Country:US
Mailing Address - Phone:661-204-5072
Mailing Address - Fax:
Practice Address - Street 1:5010 HIGHWAY 140
Practice Address - Street 2:
Practice Address - City:MARIPOSA
Practice Address - State:CA
Practice Address - Zip Code:95338-2434
Practice Address - Country:US
Practice Address - Phone:661-204-5072
Practice Address - Fax:209-618-2546
Is Sole Proprietor?:No
Enumeration Date:2015-01-06
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW64005172V00000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No172V00000XOther Service ProvidersCommunity Health Worker