| Foggy Path Ranch & Wellness, LLC | |
|
37 Fogg Lane Burlington ME 04417 | |
| (207) 352-3281 | |
| Not Available |
| Full Name | Foggy Path Ranch & Wellness, LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 37 Fogg Lane, Burlington, Maine |
| Authorized Official Name and Position | Heather Jackson (FOUNDER) |
| Authorized Official Contact | 2073523281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foggy Path Ranch & Wellness, LLC Po Box 62 Burlington ME 04417-0062 | Foggy Path Ranch & Wellness, LLC 37 Fogg Lane Burlington ME 04417 Ph: (207) 352-3281 |
| NPI Number | 1912715673 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912715673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |