Individual
CHRISTINA ATANASOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
200 TER HEUN DR, FALMOUTH, MA 02540-2525
(508) 540-6550
Mailing address
PO BOX 528, ATTN MORGAN HOUSE PROGRAM, BETHEL, AK 99559-0528
(907) 543-6552
(907) 543-6535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
04/23/2014
Last updated
11/22/2019
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