James Gorham Jr, LCPC | |
997 Main St, Sanford, ME 04073-3512 | |
(207) 232-2419 | |
Not Available |
Full Name | James Gorham Jr |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 997 Main St, Sanford, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639232481 | NPI | - | NPPES |
329230099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CC3649 (Maine) | Primary |
Entity Name | Acadia Hospital Corp. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215940523 PECOS PAC ID: 7719878495 Enrollment ID: O20040323000136 |
Mailing Address | Practice Location Address |
---|---|
James Gorham Jr, LCPC 5 Henri Dr, Kennebunk, ME 04043-6171 Ph: (207) 232-2419 | James Gorham Jr, LCPC 997 Main St, Sanford, ME 04073-3512 Ph: (207) 232-2419 |
Christina Tracy, LMSW-CC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Ruth St, Sanford, ME 04073 Phone: 207-263-3736 | |
Ms. Jessica Lynn Durgin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Farview Dr, Sanford, ME 04073 Phone: 207-432-3625 | |
Nicole Hoffman, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Winter St, Sanford, ME 04073 Phone: 207-569-8281 | |
Dr. Alice J Schleinderer, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Washington St, Room 304, Sanford, ME 04073 Phone: 207-324-3613 | |
Megan Walsh, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 997 Main St, Sanford, ME 04073 Phone: 207-252-6608 | |
Jessica L Walker, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Winter St, Sanford, ME 04073 Phone: 207-324-4054 Fax: 207-324-4074 | |
Penny Lee Remick, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25a June St Ste 113, Sanford, ME 04073 Phone: 207-490-7374 |