Wendy Evans Counseling, Llc | |
25 Main St Suite 1 Machias ME 04654-1165 | |
(207) 255-4600 | |
Not Available |
Full Name | Wendy Evans Counseling, Llc |
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Speciality | Community/Behavioral Health |
Location | 25 Main St, Machias, Maine |
Authorized Official Name and Position | Wendy Jo Evans (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 2072554600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wendy Evans Counseling, Llc 83 Smalls Point Rd Machiasport ME 04655-3230 Ph: (207) 255-6797 | Wendy Evans Counseling, Llc 25 Main St Suite 1 Machias ME 04654-1165 Ph: (207) 255-4600 |
NPI Number | 1891122420 |
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Provider Enumeration Date | 09/27/2013 |
Last Update Date | 09/27/2013 |
Medicare PECOS PAC ID | 0042649204 |
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Medicare Enrollment ID | O20200409001091 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891122420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LC3498 (Maine) | Primary |
Provider Name | Wendy Jo Evans |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841356656 PECOS PAC ID: 9335319391 Enrollment ID: I20110830000403 |
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