Organization
THE AWARE CENTER FOR EARLY INTERVENTION, LLC
Active
Organization
THE AWARE CENTER FOR EARLY INTERVENTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA POLLARD PHD (DIRECTOR)
(207) 208-8301
Entity
Organization
Contact information
Practice address
61 MAIN ST, SUITE 53, BANGOR, ME 04401-6397
(207) 208-8301
(877) 320-4344
Mailing address
61 MAIN ST, SUITE 53, BANGOR, ME 04401-6397
(207) 208-8301
(877) 320-4344
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1219
ME
1041C0700X
Clinical Social Worker
LC10927
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP081171
ME
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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