Organization
TRI-COUNTY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE R RYDER LCPC, ACS (EXECUTIVE DIRECTOR)
(207) 783-9141
Entity
Organization
Contact information
Practice address
1155 LISBON STREET, LEWISTON, ME 04241
(207) 755-0036
(207) 783-4679
Mailing address
1155 LISBON ST, PO BOX 2008, LEWISTON, ME 04241
(207) 755-0036
(207) 783-4679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
230341
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000067
ANTHEM
LA
05
—
105550200
—
ME
Enumeration date
06/12/2006
Last updated
07/01/2014
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