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Organization
HEART STONE COUNSELING LLC
Active
Organization
HEART STONE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY A VAN CANNON LCPC, LADC, CCS (OWNER / THERAPIST)
(207) 613-2470
Entity
Organization
Contact information
Practice address
967 BROADWAY STE 2, SOUTH PORTLAND, ME 04106-4263
(207) 613-2470
Mailing address
967 BROADWAY STE 2, SOUTH PORTLAND, ME 04106-4263
(207) 613-2470
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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