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CHRIS CHECKETT LLC

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1073818662

Organizational Registrant:
Organization Name:  CHRIS CHECKETT LLC
Organization is not Subpart
Authorized Official:  CHRISTOPHER TERENCE CHECKETT  OWNER  440--33-15570

Location and contact information for practice:
20325 CENTER RIDGE RD SUITE 628 ROCKY RIVER, OH 44116-3572 US
Tel: 440-331-5570  Fax: 440-331-3221

Contact information for business:
20325 CENTER RIDGE RD SUITE 628 ROCKY RIVER, OH 44116-3572 US
Tel: 440-331-5570  Fax: 440-331-3221

Registration Information:
NPI: 1073818662
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
OHI. 0800032 SUPV

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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