| The Integrated Life | |
|
28 State St Ste 5 Gorham ME 04038-1147 | |
| (207) 894-4278 | |
| Not Available |
| Full Name | The Integrated Life |
|---|---|
| Speciality | Counselor |
| Location | 28 State St Ste 5, Gorham, Maine |
| Authorized Official Name and Position | Jamie Racine (OWNER/DIRECTOR) |
| Authorized Official Contact | 2078944278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Integrated Life 28 State St Ste 5 Gorham ME 04038-1147 Ph: (207) 894-4278 | The Integrated Life 28 State St Ste 5 Gorham ME 04038-1147 Ph: (207) 894-4278 |
| NPI Number | 1164150520 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/12/2022 |
| Certification Date | 08/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164150520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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