| Ellen Skoczenski, Llc | |
|
64 Bonnybank Ter South Portland ME 04106-6307 | |
| (207) 323-8945 | |
| Not Available |
| Full Name | Ellen Skoczenski, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 64 Bonnybank Ter, South Portland, Maine |
| Authorized Official Name and Position | Ellen Skoczenski (OWNER/LCPC) |
| Authorized Official Contact | 2073238945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Skoczenski, Llc 64 Bonnybank Ter South Portland ME 04106-6307 Ph: () - | Ellen Skoczenski, Llc 64 Bonnybank Ter South Portland ME 04106-6307 Ph: (207) 323-8945 |
| NPI Number | 1477214534 |
|---|---|
| Provider Enumeration Date | 12/31/2021 |
| Last Update Date | 12/31/2021 |
| Certification Date | 12/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477214534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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