# CENTER FOR COLLABORATIVE FAMILY THERAPY, PLLC

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

## Provider details

- **NPI number:** 1760152276
- **Authorized official:** DR. JENNIFER KING PHD, LMFT (CLINICAL DIRECTOR)
- **Authorized official phone:** (207) 489-9393

## Contact information

- **Practice address:** 21 MEMORIAL HWY, NORTH YARMOUTH, ME 04097-6327
- **Practice address phone:** (207) 489-9393
- **Practice address fax:** (207) 489-9393
- **Mailing address:** 119 RAVINE DR, CUMBERLAND FORESIDE, ME 04110-1134
- **Mailing address phone:** (585) 354-7724
- **Mailing address fax:** (207) 489-9393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2021
- **Last updated:** 09/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1821283235 | JENNIFER KING | NY |