Kathryn Mitchell Counseling, Llc | |
40 Fowler Rd Cape Elizabeth ME 04107 | |
(603) 660-2369 | |
Not Available |
Full Name | Kathryn Mitchell Counseling, Llc |
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Speciality | Counselor |
Location | 40 Fowler Rd, Cape Elizabeth, Maine |
Authorized Official Name and Position | Kathryn Mitchell (OWNER/LCPC) |
Authorized Official Contact | 6036602369 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kathryn Mitchell Counseling, Llc 40 Fowler Rd Cape Elizabeth ME 04107 Ph: (603) 660-2369 | Kathryn Mitchell Counseling, Llc 40 Fowler Rd Cape Elizabeth ME 04107 Ph: (603) 660-2369 |
NPI Number | 1609651058 |
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Provider Enumeration Date | 08/25/2023 |
Last Update Date | 08/25/2023 |
Certification Date | 08/24/2023 |
Medicare PECOS PAC ID | 0749633782 |
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Medicare Enrollment ID | O20240126000280 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609651058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Kathryn Mitchell |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1194254276 PECOS PAC ID: 1658720461 Enrollment ID: I20240126000454 |
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