Kristen Cianelli, | |
525 Main St, South Portland, ME 04106-5457 | |
(207) 874-1045 | |
(207) 767-0995 |
Full Name | Kristen Cianelli |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 525 Main St, South Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003202110 | NPI | - | NPPES |
1164484093 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | CAC5573 (Maine) | Primary |
Entity Name | Sweetser |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538122445 PECOS PAC ID: 8325946213 Enrollment ID: O20031230000339 |
Mailing Address | Practice Location Address |
---|---|
Kristen Cianelli, 525 Main St, South Portland, ME 04106-5457 Ph: (207) 874-1045 | Kristen Cianelli, 525 Main St, South Portland, ME 04106-5457 Ph: (207) 874-1045 |
Mrs. Mary Beach, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Lydia Ln, South Portland, ME 04106 Phone: 207-874-1175 | |
Jon Muench, LMSW,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 Main St, South Portland, ME 04106 Phone: 207-874-1045 Fax: 207-767-0995 | |
June Coravos, LCPC,LADC,CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 Main St, South Portland, ME 04106 Phone: 207-874-1045 Fax: 207-767-0995 | |
Sarah Hartford, LCSW, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 68 George Street, South Portland, ME 04106 Phone: 603-486-6077 | |
Ms. Janice L Kienzle, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 884 Broadway Ste 13, South Portland, ME 04106 Phone: 207-747-8242 | |
Julie Wyona Vecchio, CCS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Western Ave, South Portland, ME 04106 Phone: 207-774-7111 Fax: 207-775-1985 |