Organization
EQ MAINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC RUTBERG DHED, LCPC (CLINICAL DIRECTOR)
(207) 491-6014
Entity
Organization
Contact information
Practice address
233 VILLAGE VIEW STREET, WILTON, ME 04294
(207) 491-6014
(888) 876-3908
Mailing address
PO BOX 1082, WILTON, ME 04294-1082
(207) 491-6014
(888) 876-3908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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