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Individual

MR. PETER M. COMSTOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
74 WINTHROP ST, AUGUSTA, ME 04330-5544
(207) 621-8048
(207) 621-8048
Mailing address
PO BOX 634, AUGUSTA, ME 04332-0634
(207) 621-8048
(207) 621-8048

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC1753
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022847
ANTHEM
ME
01
2110952
CIGNA BEHEAVIORAL INS.
ME
05
257360099
ME
01
4763336000
MAGELLAN
ME
01
7057407
AETNA
ME
Enumeration date
07/28/2006
Last updated
01/06/2012
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