Individual
EILEEN FARRAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 PRESUMPSCOT ST UNIT 9, PORTLAND, ME 04103-5225
(207) 871-1000
Mailing address
10 SUSAN LN, FALMOUTH, ME 04105-2528
(207) 797-7286
(207) 878-2431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL5212
ME
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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