| Kerish Benttinen Lcsw, Llc | |
|
179 Main St Suite 401 Waterville ME 04901-6672 | |
| (207) 649-9772 | |
| (207) 616-0577 |
| Full Name | Kerish Benttinen Lcsw, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 179 Main St, Waterville, Maine |
| Authorized Official Name and Position | Kerish Benttinen (OWNER) |
| Authorized Official Contact | 2076499772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerish Benttinen Lcsw, Llc 11 1st Rangeway Waterville ME 04901-5161 Ph: (207) 649-9772 | Kerish Benttinen Lcsw, Llc 179 Main St Suite 401 Waterville ME 04901-6672 Ph: (207) 649-9772 |
| NPI Number | 1477920775 |
|---|---|
| Provider Enumeration Date | 08/22/2015 |
| Last Update Date | 08/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477920775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC13117 (Maine) | Primary |
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