Kennebec Counseling Services Llc | |
204 Shore Rd Fayette ME 04349-3238 | |
(207) 489-4675 | |
(207) 466-8507 |
Full Name | Kennebec Counseling Services Llc |
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Speciality | Community/behavioral Health |
Location | 204 Shore Rd, Fayette, Maine |
Authorized Official Name and Position | Emily Stultz (OWNER) |
Authorized Official Contact | 2078611690 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kennebec Counseling Services Llc 204 Shore Rd Fayette ME 04349-3238 Ph: (207) 489-4675 | Kennebec Counseling Services Llc 204 Shore Rd Fayette ME 04349-3238 Ph: (207) 489-4675 |
NPI Number | 1679337786 |
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Provider Enumeration Date | 02/08/2024 |
Last Update Date | 02/08/2024 |
Certification Date | 02/08/2024 |
Identifier | Type | State | Issuer |
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1679337786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |