Evergreen Psychotherapy | |
844 Stevens Ave Portland ME 04103-2676 | |
(508) 243-3580 | |
Not Available |
Full Name | Evergreen Psychotherapy |
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Speciality | Social Worker - Clinical |
Location | 844 Stevens Ave, Portland, Maine |
Authorized Official Name and Position | Jaime Mastrorio (OWNER / LCSW) |
Authorized Official Contact | 5082433580 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evergreen Psychotherapy 844 Stevens Ave Portland ME 04103-2676 Ph: () - | Evergreen Psychotherapy 844 Stevens Ave Portland ME 04103-2676 Ph: (508) 243-3580 |
NPI Number | 1427879840 |
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Provider Enumeration Date | 10/18/2024 |
Last Update Date | 11/15/2024 |
Certification Date | 11/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427879840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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