| Many Moons Psychotherapy Services, Inc. | |
|
4 Cottage Street Freeport ME 04032 | |
| (207) 504-2664 | |
| (207) 865-2004 |
| Full Name | Many Moons Psychotherapy Services, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4 Cottage Street, Freeport, Maine |
| Authorized Official Name and Position | Stephanie H Pontti (LICENSED CLINICAL PROFESSIONAL COUN) |
| Authorized Official Contact | 2075042664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Many Moons Psychotherapy Services, Inc. 4 Cottage Street Freeport ME 04032 Ph: (207) 504-2664 | Many Moons Psychotherapy Services, Inc. 4 Cottage Street Freeport ME 04032 Ph: (207) 504-2664 |
| NPI Number | 1427319359 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427319359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC2454 (Maine) | Secondary |
| 101YP2500X | Counselor - Professional | CC2454 (* (Not Available)) | Primary |
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