| Central Maine Family Counseling Pa | |
|
300 Pine St Lewiston ME 04240-6309 | |
| (207) 777-3399 | |
| (207) 777-3391 |
| Full Name | Central Maine Family Counseling Pa |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 300 Pine St, Lewiston, Maine |
| Authorized Official Name and Position | Jennifer C Wood (PRESIDENT) |
| Authorized Official Contact | 2077773399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Maine Family Counseling Pa 300 Pine St Lewiston ME 04240-6309 Ph: (207) 777-3399 | Central Maine Family Counseling Pa 300 Pine St Lewiston ME 04240-6309 Ph: (207) 777-3399 |
| NPI Number | 1003001702 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 10/15/2009 |
| Medicare PECOS PAC ID | 2466886734 |
|---|---|
| Medicare Enrollment ID | O20191218003132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003001702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer C Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144492562 PECOS PAC ID: 0840624680 Enrollment ID: I20200117000522 |
| Provider Name | Bethany Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568865673 PECOS PAC ID: 0648613844 Enrollment ID: I20240205002093 |
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