| Resilience Counseling Services Llc | |
|
55 Fogg Rd Buxton ME 04093-3614 | |
| (207) 228-5080 | |
| Not Available |
| Full Name | Resilience Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 55 Fogg Rd, Buxton, Maine |
| Authorized Official Name and Position | Joanna C Bulger (MANAGER) |
| Authorized Official Contact | 2072285080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilience Counseling Services Llc Po Box 920 Buxton ME 04093-0920 Ph: (207) 228-5080 | Resilience Counseling Services Llc 55 Fogg Rd Buxton ME 04093-3614 Ph: (207) 228-5080 |
| NPI Number | 1861804064 |
|---|---|
| Provider Enumeration Date | 05/22/2014 |
| Last Update Date | 05/22/2014 |
| Medicare PECOS PAC ID | 3072731876 |
|---|---|
| Medicare Enrollment ID | O20140819002681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861804064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC6035 (Maine) | Primary |
| Provider Name | Joanna C Bulger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932418811 PECOS PAC ID: 7618154014 Enrollment ID: I20110613000551 |
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