| Genevieve Spears Llc | |
|
443 Western Ave Ste 1039 South Portland ME 04106-1726 | |
| (207) 544-7644 | |
| Not Available |
| Full Name | Genevieve Spears Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 443 Western Ave Ste 1039, South Portland, Maine |
| Authorized Official Name and Position | Genevieve Costello-spears (OWNER) |
| Authorized Official Contact | 2075447644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genevieve Spears Llc 443 Western Ave Ste 1039 South Portland ME 04106-1726 Ph: (207) 544-7644 | Genevieve Spears Llc 443 Western Ave Ste 1039 South Portland ME 04106-1726 Ph: (207) 544-7644 |
| NPI Number | 1942062716 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942062716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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