Organization
NOAH KRELL PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOAH DANIEL KRELL LCSW (OWNER)
(207) 417-6260
Entity
Organization
Contact information
Practice address
57 EXCHANGE ST STE 203, PORTLAND, ME 04101-5000
(207) 417-6260
(207) 569-9919
Mailing address
19 WESTMINSTER AVE, PORTLAND, ME 04103-2430
(207) 417-6260
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/23/2019
Last updated
03/18/2020
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