Organization
JON ST. PETER LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON M ST. PETER LCSW (OWNER)
(207) 491-0502
Entity
Organization
Contact information
Practice address
21 ELM ST STE 302, CAMDEN, ME 04843-1902
(207) 491-0502
Mailing address
PO BOX 513, CAMDEN, ME 04843-0513
(207) 491-0502
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/03/2021
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