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Organization
THE UMBRELLA AGENCY
Active
Organization
THE UMBRELLA AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE E AVERILL LCSW (PRESIDENT)
(207) 563-3022
Entity
Organization
Contact information
Practice address
73 BISCAY RD, DAMARISCOTTA, ME 04543
(207) 563-3022
(207) 563-6146
Mailing address
PO BOX 38, NOBLEBORO, ME 04555-0038
(207) 563-3022
(207) 563-6146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
682863
ME
101YM0800X
Mental Health Counselor
Primary
682861
ME
Other
Enumeration date
10/13/2014
Last updated
02/09/2015
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