Organization
HIDDEN GLADE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER ALAN HOLLOWAY LCSW (OWNER)
(508) 499-9694
Entity
Organization
Contact information
Practice address
1 UNION ST STE 501, PORTLAND, ME 04101-4050
(508) 499-9694
Mailing address
PO BOX 307, BRUNSWICK, ME 04011-0307
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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