Provider Demographics
NPI:1932340684
Name:HUFNAGEL, CHRISTINE SUSAN (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:SUSAN
Last Name:HUFNAGEL
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:PO BOX 164
Mailing Address - Street 2:
Mailing Address - City:WEST FARMINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04992-0164
Mailing Address - Country:US
Mailing Address - Phone:207-645-8000
Mailing Address - Fax:207-783-7489
Practice Address - Street 1:240 BATES ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7330
Practice Address - Country:US
Practice Address - Phone:207-645-8000
Practice Address - Fax:207-783-7489
Is Sole Proprietor?:No
Enumeration Date:2009-03-10
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC100341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical