# CROOKED RIVER COUNSELING PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558338707
- **Authorized official:** CATHERINE A CLOUGH-BELL LADC,CCS,ICADC,ICCS (PRESIDENT, OWNER)
- **Authorized official phone:** (207) 743-1677

## Contact information

- **Practice address:** 28 WINTER ST, SUITE 4, NORWAY, ME 04268-5620
- **Practice address phone:** (207) 743-1677
- **Practice address fax:** (207) 743-1614
- **Mailing address:** 28 WINTER ST., SUITE 4, NORWAY, ME 04268
- **Mailing address phone:** (207) 743-1677
- **Mailing address fax:** (207) 743-1614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 492099 | ME | Yes |

## Other

- **Enumeration date:** 03/07/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | RQ6,031599 | ANTHEM BEHV HEALTH PROV.\# | ME |