| Pinetree Behavioral Health, Llc | |
|
263 State St Ste 9 Bangor ME 04401-5461 | |
| (207) 307-7119 | |
| (207) 307-7129 |
| Full Name | Pinetree Behavioral Health, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 263 State St Ste 9, Bangor, Maine |
| Authorized Official Name and Position | Christopher Garrison (OWNER/LCPC) |
| Authorized Official Contact | 2073077119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinetree Behavioral Health, Llc 263 State Street Suite 9 Bangor ME 04401-5435 Ph: (207) 307-7119 | Pinetree Behavioral Health, Llc 263 State St Ste 9 Bangor ME 04401-5461 Ph: (207) 307-7119 |
| NPI Number | 1003224726 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 07/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003224726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CC1731 (Maine) | Primary |
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