| Portland Humanistic Therapy Llc | |
|
602 Brighton Ave Portland ME 04102-2324 | |
| (203) 648-8715 | |
| Not Available |
| Full Name | Portland Humanistic Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 602 Brighton Ave, Portland, Maine |
| Authorized Official Name and Position | Pier Wolf Franzen (OWNER / LCPC) |
| Authorized Official Contact | 2036488715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Humanistic Therapy Llc 602 Brighton Ave Portland ME 04102-2324 Ph: () - | Portland Humanistic Therapy Llc 602 Brighton Ave Portland ME 04102-2324 Ph: (203) 648-8715 |
| NPI Number | 1184317075 |
|---|---|
| Provider Enumeration Date | 05/29/2023 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184317075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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