Individual
CHRISTOPHER M DORVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17440
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
200020
RI
1041C0700X
Clinical Social Worker
224236
MA
1041C0700X
Clinical Social Worker
Primary
ISW02895
RI
Other
Enumeration date
04/11/2012
Last updated
12/17/2020
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