| Heart Stone Counseling Llc | |
|
967 Broadway Ste 2 South Portland ME 04106-4263 | |
| (207) 613-2470 | |
| Not Available |
| Full Name | Heart Stone Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 967 Broadway Ste 2, South Portland, Maine |
| Authorized Official Name and Position | Emily A Van Cannon (OWNER / THERAPIST) |
| Authorized Official Contact | 2076132470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Stone Counseling Llc 967 Broadway Ste 2 South Portland ME 04106-4263 Ph: (207) 613-2470 | Heart Stone Counseling Llc 967 Broadway Ste 2 South Portland ME 04106-4263 Ph: (207) 613-2470 |
| NPI Number | 1902533714 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 08/02/2022 |
| Certification Date | 07/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902533714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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