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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