Individual provider · Type 1 NPI

Patricia Ann Champ, LMHC, LADC 1

Addiction (Substance Use Disorder) Counselor · South Yarmouth, MA

NPI number 1932221090 Active

Practice location

20 Forsythe Ave
South Yarmouth, MA 02664-1814

Fax (508) 398-3478

Mailing address

116 Brook Rd
Plymouth, MA 02360-6330

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X4936 , 269 (MA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1932221090

Patricia Ann Champ, LMHC, LADC 1's National Provider Identifier is 1932221090, issued on Apr 6, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Yarmouth, MA. The record was last updated on Jul 8, 2007.