| Emily R Pines | |
|
131 Ocean St South Portland ME 04106-3649 | |
| (207) 770-0760 | |
| Not Available |
| Full Name | Emily R Pines |
|---|---|
| Speciality | Counselor - Professional |
| Location | 131 Ocean St, South Portland, Maine |
| Authorized Official Name and Position | Emily Pines (OWNER/LCPC) |
| Authorized Official Contact | 2077700760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily R Pines 131 Ocean St South Portland ME 04106-3649 Ph: () - | Emily R Pines 131 Ocean St South Portland ME 04106-3649 Ph: (207) 770-0760 |
| NPI Number | 1376221424 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376221424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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