| Grace O Fosler, LCPC-C | |
|
63 Preble St, Portland, ME 04101-3014 | |
| (207) 874-2141 | |
| (207) 874-2164 |
| Full Name | Grace O Fosler |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 63 Preble St, Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710654256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | XL6270 (Maine) | Primary |
| Entity Name | Portland Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609120856 PECOS PAC ID: 5395998017 Enrollment ID: O20130206000120 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace O Fosler, LCPC-C 180 Park Ave, Portland, ME 04102-2957 Ph: (207) 874-2141 | Grace O Fosler, LCPC-C 63 Preble St, Portland, ME 04101-3014 Ph: (207) 874-2141 |
Maria A Moustrouphis, LCSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 77 Vermont Ave, Portland, ME 04103 Phone: 207-409-9487 | |
Katherine P Whittemore, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1050 Forest Ave, Portland, ME 04103 Phone: 207-242-0443 | |
Annah Levasseur, LMSW-CC, LADC, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Euclid Ave, Portland, ME 04103 Phone: 207-838-6603 | |
Scott W. Hutcherson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Lancaster St, Portland, ME 04101 Phone: 207-874-1030 Fax: 207-874-1044 | |
Emily-anne Garland, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 576 Saint John St, Portland, ME 04102 Phone: 207-780-0020 Fax: 207-780-0022 | |
Michael H Freeman, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Anderson St, Portland, ME 04101 Phone: 207-775-5671 Fax: 207-871-1243 | |
David R Arnold, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Exchange St, Portland, ME 04101 Phone: 207-209-5067 |