| Soul Wisdom Counseling | |
|
12 Elm St Gorham ME 04038-1506 | |
| (207) 573-2205 | |
| Not Available |
| Full Name | Soul Wisdom Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12 Elm St, Gorham, Maine |
| Authorized Official Name and Position | Donna Lanigra (OWNER/PROVIDER) |
| Authorized Official Contact | 2075732205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Wisdom Counseling 12 Elm St Gorham ME 04038-1506 Ph: (207) 573-2205 | Soul Wisdom Counseling 12 Elm St Gorham ME 04038-1506 Ph: (207) 573-2205 |
| NPI Number | 1427697051 |
|---|---|
| Provider Enumeration Date | 12/30/2019 |
| Last Update Date | 12/30/2019 |
| Certification Date | 12/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427697051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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