| Wise Star Counseling Llc | |
|
9 Everett Street Brunswick ME 04011 | |
| (207) 653-3258 | |
| Not Available |
| Full Name | Wise Star Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9 Everett Street, Brunswick, Maine |
| Authorized Official Name and Position | Grace Guerrette Plummer (PROVIDER & OWNER OF WISE STAR) |
| Authorized Official Contact | 2076533258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Star Counseling Llc 9 Everett Street Brunswick ME 04011 Ph: (207) 653-3258 | Wise Star Counseling Llc 9 Everett Street Brunswick ME 04011 Ph: (207) 653-3258 |
| NPI Number | 1205560893 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 07/11/2022 |
| Certification Date | 07/11/2022 |
| Medicare PECOS PAC ID | 6608245113 |
|---|---|
| Medicare Enrollment ID | O20221205003072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205560893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Grace Plummer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740582535 PECOS PAC ID: 2860643061 Enrollment ID: I20121116000349 |
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