| Shared Space Counseling Llc | |
|
9 Houlton St Portland ME 04102-3410 | |
| (207) 615-3738 | |
| Not Available |
| Full Name | Shared Space Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9 Houlton St, Portland, Maine |
| Authorized Official Name and Position | Jarrid H. Jones (OWNER) |
| Authorized Official Contact | 2076153738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shared Space Counseling Llc 9 Houlton St Portland ME 04102-3410 Ph: (207) 615-3738 | Shared Space Counseling Llc 9 Houlton St Portland ME 04102-3410 Ph: (207) 615-3738 |
| NPI Number | 1912591603 |
|---|---|
| Provider Enumeration Date | 02/24/2021 |
| Last Update Date | 02/24/2021 |
| Certification Date | 02/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912591603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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