| Orono Counseling | |
|
163 Forest Ave Orono ME 04473 | |
| (207) 356-1622 | |
| Not Available |
| Full Name | Orono Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 163 Forest Ave, Orono, Maine |
| Authorized Official Name and Position | Dara Mcintire (THERAPIST) |
| Authorized Official Contact | 2073561622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orono Counseling 163 Forest Ave Orono ME 04473 Ph: (207) 356-1622 | Orono Counseling 163 Forest Ave Orono ME 04473 Ph: (207) 356-1622 |
| NPI Number | 1346843539 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 02/18/2021 |
| Certification Date | 02/18/2021 |
| Medicare PECOS PAC ID | 6901213339 |
|---|---|
| Medicare Enrollment ID | O20210331000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346843539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Garrett A Randolph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942712773 PECOS PAC ID: 0840557369 Enrollment ID: I20171207002664 |
| Provider Name | Dara K Mcintire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083127617 PECOS PAC ID: 4284051087 Enrollment ID: I20200825001557 |
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