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Individual

MR. JONATHAN M. PURINTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.C.P.C.

Contact information

Practice address
668 OYSTER RIVER RD, WARREN, ME 04864-4244
(297) 273-2779
(209) 727-3277
Mailing address
668 OYSTER RIVER RD, WARREN, ME 04864-4244
(297) 273-2779
(209) 727-3277

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC1967
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022946
ANTHEM BCBS
ME
01
065163
MNH PIN
ME
01
2204279
CIGNA PIN
ME
01
7748525
AETNA PIN #
ME
Enumeration date
08/18/2006
Last updated
07/08/2007
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