| Ms Lanna Rutherford, LCPC | |
|
11 Baxter Blvd Fl 2, Portland, ME 04101-1801 | |
| (036) 883-0005 | |
| Not Available |
| Full Name | Ms Lanna Rutherford |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 11 Baxter Blvd Fl 2, 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 |
|---|---|---|---|
| 1639300635 | NPI | - | NPPES |
| 2121RAVEN | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | XL3431 (Maine) | Secondary |
| 101YP2500X | Counselor - Professional | CC4327 (Maine) | Primary |
| Entity Name | Health Affiliates Maine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lanna Rutherford, LCPC 11 Baxter Blvd Fl 2, Portland, ME 04101-1801 Ph: (603) 883-0005 | Ms Lanna Rutherford, LCPC 11 Baxter Blvd Fl 2, Portland, ME 04101-1801 Ph: (036) 883-0005 |
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 |