| Max Louison-semrow Lcsw, Llc | |
|
310 Poland Range Rd Pownal ME 04069-6206 | |
| (207) 200-4351 | |
| Not Available |
| Full Name | Max Louison-semrow Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 310 Poland Range Rd, Pownal, Maine |
| Authorized Official Name and Position | Max James Louison-semrow (CLINICIAN / SOLE PROPRIETOR) |
| Authorized Official Contact | 2072004351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Max Louison-semrow Lcsw, Llc Po Box 9 Pownal ME 04069-0009 Ph: (207) 200-4351 | Max Louison-semrow Lcsw, Llc 310 Poland Range Rd Pownal ME 04069-6206 Ph: (207) 200-4351 |
| NPI Number | 1598595688 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 12/06/2024 |
| Certification Date | 12/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598595688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Tamarack Therapy Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Royal Rd Apt C, Pownal, ME 04069 Phone: 207-766-6422 | |