| Jon Boschen Lcsw, Llc | |
|
88 Main St Ste 302 Waterville ME 04901-6602 | |
| (862) 432-9149 | |
| Not Available |
| Full Name | Jon Boschen Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 88 Main St Ste 302, Waterville, Maine |
| Authorized Official Name and Position | Jon Boschen (MANAGING MEMBER) |
| Authorized Official Contact | 8624329149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Boschen Lcsw, Llc 210 Main St Pittsfield ME 04967-4362 Ph: (862) 432-9149 | Jon Boschen Lcsw, Llc 88 Main St Ste 302 Waterville ME 04901-6602 Ph: (862) 432-9149 |
| NPI Number | 1386452753 |
|---|---|
| Provider Enumeration Date | 12/18/2024 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386452753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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