Organization
BRIDGETREE COUNSELING & CONSULTATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFRY BERTRAM SMITH MSW (PRESIDENT)
(207) 720-0558
Entity
Organization
Contact information
Practice address
34 MCKEEN ST, BRUNSWICK, ME 04011-3039
(207) 720-0558
Mailing address
34 MCKEEN ST, BRUNSWICK, ME 04011-3039
(207) 720-0558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5455
ME
Other
Enumeration date
08/19/2016
Last updated
11/29/2021
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