| The Rising Sun Counseling Llc | |
|
22 Hawthorne St Unit 2 Portland ME 04103-5410 | |
| (207) 560-5758 | |
| Not Available |
| Full Name | The Rising Sun Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 22 Hawthorne St Unit 2, Portland, Maine |
| Authorized Official Name and Position | Veronica Ingrao (OWNER, CLINICIAN) |
| Authorized Official Contact | 2075605758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Rising Sun Counseling Llc 22 Hawthorne St Unit 2 Portland ME 04103-5410 Ph: (207) 560-5758 | The Rising Sun Counseling Llc 22 Hawthorne St Unit 2 Portland ME 04103-5410 Ph: (207) 560-5758 |
| NPI Number | 1407444706 |
|---|---|
| Provider Enumeration Date | 01/04/2021 |
| Last Update Date | 10/13/2021 |
| Certification Date | 10/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407444706 | NPI | - | NPPES |
| LC19444 | Other | ME | LICENSE NUMBER |
| 1750865739 | Other | NPI I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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