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Organization
CENTER FOR COLLABORATIVE FAMILY THERAPY, PLLC
Active
Organization
CENTER FOR COLLABORATIVE FAMILY THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER KING PHD, LMFT (CLINICAL DIRECTOR)
(207) 489-9393
Entity
Organization
Contact information
Practice address
21 MEMORIAL HWY, NORTH YARMOUTH, ME 04097-6327
(207) 489-9393
(207) 489-9393
Mailing address
119 RAVINE DR, CUMBERLAND FORESIDE, ME 04110-1134
(585) 354-7724
(207) 489-9393
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821283235
JENNIFER KING
NY
Enumeration date
09/16/2021
Last updated
09/16/2021
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