Organization
POLAND SPRING COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WEARY LCSW (THERAPIST)
(207) 310-0026
Entity
Organization
Contact information
Practice address
1203 MAINE ST, POLAND, ME 04274-7328
(207) 310-0026
Mailing address
122 SUMMIT SPRING RD, POLAND, ME 04274-6706
(207) 310-0026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11308
ME
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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