Individual
CHRISTOPHER DAVID KOTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6795
(207) 530-0444
Mailing address
1 VA CTR, AUGUSTA, ME 04330-6795
(207) 771-3545
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
18009
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18009
—
ME
Enumeration date
08/19/2021
Last updated
05/14/2024
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