John Andreas Dahle, ACMHC | |
11 Mill St, Houlton, ME 04730-1877 | |
(207) 532-6523 | |
(207) 532-3873 |
Full Name | John Andreas Dahle |
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Gender | Male |
Speciality | Counselor |
Location | 11 Mill St, Houlton, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245753441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 10404540-6009 (Utah) | Secondary |
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Aroostook Mental Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487601399 PECOS PAC ID: 8426033952 Enrollment ID: O20040702000491 |
Mailing Address | Practice Location Address |
---|---|
John Andreas Dahle, ACMHC Po Box 867, Price, UT 84501-0867 Ph: (435) 637-7200 | John Andreas Dahle, ACMHC 11 Mill St, Houlton, ME 04730-1877 Ph: (207) 532-6523 |
Kimberly Mcgillicuddy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Mill St, Houlton, ME 04730 Phone: 207-532-6523 Fax: 207-532-3873 | |
Paula B. Cyr, LCSW & CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2 High St, Houlton, ME 04730 Phone: 207-532-1058 Fax: 207-532-5507 | |
Alicia J Chryss, PMHRT-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Mill St, Houlton, ME 04730 Phone: 207-532-6523 | |
Nancy L. Putnam, MHRT-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Mill St, Houlton, ME 04730 Phone: 207-532-6523 Fax: 207-532-3873 | |
Lois M Flewelling, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 144 Military St, Houlton, ME 04730 Phone: 207-532-9906 Fax: 207-521-0900 | |
Vanessa Swallow, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Mill St, Houlton, ME 04730 Phone: 207-532-6523 Fax: 207-532-3873 | |
Jordan Cummings, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Mill St, Houlton, ME 04730 Phone: 207-532-6523 Fax: 207-532-3873 |